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General NPI Number Information
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NPI Number | 1700111242
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Entity Type | Individual
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Provider Name | SARAH RUTH PAQUETTE D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 11/23/2018
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Provider Practice Location Address
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Address Line | 1151 W MAIN ST
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City | RICHMOND
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State | VT
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Zip | 05477-4472
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Country | US
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Telephone | 802-662-3592
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Fax | 802-332-3099
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Provider Business Mailing Address
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Address Line | 11 WOODLAND DR
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City | UNDERHILL
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State | VT
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Zip | 05489-9220
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Country | US
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Telephone | 802-662-3592
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Fax | 802-332-3099
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 006.0060786
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License Number State | VT
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