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General NPI Number Information
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NPI Number | 1811558422
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Entity Type | Individual
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Provider Name | EMMA ROSE FERGUSON I FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-3790
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 227
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City | JACKSONVILLE
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State | VT
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Zip | 05342-0227
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Country | US
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Telephone | 802-579-3029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0134341
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 101.0134341
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License Number State | VT
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