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General NPI Number Information
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NPI Number | 1689832594
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Entity Type | Organization
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Legal Business Name | VERMONT SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 5 ALBERT CREE DR
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City | RUTLAND
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State | VT
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Zip | 05701-4601
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Country | US
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Telephone | 802-775-1300
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Fax | 802-773-9300
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Provider Business Mailing Address
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Address Line | 5 ALBERT CREE DR
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City | RUTLAND
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State | VT
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Zip | 05701-4601
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Country | US
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Telephone | 802-775-1300
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Fax | 802-773-9300
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JOHN C SPRATT
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Credential |
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Telephone | 860-434-9398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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