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General NPI Number Information
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NPI Number | 1649142621
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Entity Type | Organization
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Legal Business Name | THE FAMILY PLACE
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 319 US ROUTE 5 S
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City | NORWICH
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State | VT
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Zip | 05055-9431
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Country | US
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Telephone | 802-649-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 319 US ROUTE 5 S
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City | NORWICH
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State | VT
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Zip | 05055-9431
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Country | US
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Telephone | 802-649-3268
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEPHANIE SLAYTON
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Credential |
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Telephone | 802-649-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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