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General NPI Number Information
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NPI Number | 1770419020
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Entity Type | Organization
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Legal Business Name | BRATTLEBORO MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 79 MAIN STREET
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City | PUTNEY
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State | VT
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Zip | 05346-8318
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Country | US
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Telephone | 802-387-5581
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Fax | 802-387-6694
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Provider Business Mailing Address
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Address Line | 17 BELMONT AVENUE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7601
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Country | US
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Telephone | 802-387-5581
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Fax | 802-387-6694
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Authorized Official
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Title or Position | INTERIM ASST CONTROLLER
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Name | KIMBERLY FROST
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Credential |
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Telephone | 802-257-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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