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General NPI Number Information
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NPI Number | 1770136400
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Entity Type | Organization
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Legal Business Name | AMY CURTIS, MA, LLC
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 35 KING ST STE 8
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City | BURLINGTON
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State | VT
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Zip | 05401-4787
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Country | US
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Telephone | 802-777-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 41 BACON DR
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City | SHELBURNE
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State | VT
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Zip | 05482-7492
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Country | US
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Telephone | 802-777-4757
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST-MASTER
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Name | AMY CURTIS
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Credential | MA
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Telephone | 802-777-4757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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