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General NPI Number Information
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NPI Number | 1821173998
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Entity Type | Individual
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Provider Name | SUSAN STEMBER BUHLMANN LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 1 ANNA MARSH LANE
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City | BRATTLEBORO
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State | VT
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Zip | 05302
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Country | US
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Telephone | 802-258-3700
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Fax | 802-258-3743
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Provider Business Mailing Address
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Address Line | 1 ANNA MARSH LANE
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City | BRATTLEBORO
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State | VT
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Zip | 05302
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Country | US
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Telephone | 802-258-3700
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Fax | 802-258-3743
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05141100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0072501
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License Number State | VT
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