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General NPI Number Information
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NPI Number | 1801119573
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Entity Type | Organization
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Legal Business Name | SOUTHERN VERMONT ORTHOPAEDIC &
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 17 BELMONT AVE
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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 | 802-254-7787
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Fax | 802-254-5937
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Provider Business Mailing Address
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Address Line | 17 BELMONT AVE
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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 | 802-254-7787
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Fax | 802-254-5937
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH A MCLARNEY
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Credential | M.D.
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Telephone | 802-254-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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