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General NPI Number Information
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NPI Number | 1649070905
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Entity Type | Organization
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Legal Business Name | VTNPNV PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 73 MAIN ST
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City | MONTPELIER
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State | VT
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Zip | 05602-2932
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Country | US
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Telephone | 802-793-0361
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Fax | 802-793-0361
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | CRAFTSBURY
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State | VT
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Zip | 05826-0092
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Country | US
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Telephone | 802-793-0361
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Fax | 802-793-0361
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE VALCOUR
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Credential | DNP PMHNP-BC FNP-BC
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Telephone | 802-793-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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