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General NPI Number Information
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NPI Number | 1700248168
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Entity Type | Individual
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Provider Name | AMY COVINGTON CASTRO-BROWN D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 61 BUTLER DR
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7245
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Country | US
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Telephone | 802-242-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 61 BUTLER DR
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7245
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Country | US
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Telephone | 802-242-0225
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 031-0119609
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License Number State | VT
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