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General NPI Number Information
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NPI Number | 1831507664
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Entity Type | Organization
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Legal Business Name | CRAIG RINDER, MD, LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 375 CANAL ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6936
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Country | US
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Telephone | 802-254-8222
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Fax | 802-254-5577
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Provider Business Mailing Address
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Address Line | 375 CANAL ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6936
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Country | US
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Telephone | 802-254-8222
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Fax | 802-254-5577
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Authorized Official
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Title or Position | OWNER
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Name | MR. CRAIG RINDER
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Credential | M.D.
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Telephone | 802-254-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 042.0008789
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License Number State | VT
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