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General NPI Number Information
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NPI Number | 1679015366
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Entity Type | Individual
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Provider Name | KAYLA MICHELE CIAMPA ZWICKY DNP, APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2 ESSEX WAY
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3394
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Country | US
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Telephone | 802-847-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 104.0124611
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 026.0146790
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 101.0137149
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License Number State | VT
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