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General NPI Number Information
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NPI Number | 1801603451
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Entity Type | Organization
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Legal Business Name | ANTHONY GRUDIN MA LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 22 ROCKLAND ST
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City | BURLINGTON
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State | VT
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Zip | 05408-1118
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Country | US
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Telephone | 802-324-9251
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ROCKLAND ST
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City | BURLINGTON
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State | VT
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Zip | 05408-1118
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Country | US
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Telephone | 802-324-9251
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY GRUDIN
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Credential |
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Telephone | 802-324-9251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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