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General NPI Number Information
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NPI Number | 1740291400
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Entity Type | Organization
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Legal Business Name | PORTER HOSPITAL INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 115 PORTER DRIVE
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City | MIDDLEBURY
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State | VT
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Zip | 05753
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Country | US
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Telephone | 802-388-4701
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Fax | 802-388-5654
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Provider Business Mailing Address
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Address Line | 115 PORTER DR
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8423
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Country | US
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Telephone | 802-388-5607
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Fax | 802-388-5654
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Authorized Official
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Title or Position | CFO
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Name | SCOTT COMEAU
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Credential |
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Telephone | 802-388-4752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 675
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License Number State | VT
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