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General NPI Number Information
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NPI Number | 1841863933
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Entity Type | Organization
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Legal Business Name | HARRIS STROKOFF MD PLLC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 595 DORSET ST STE 4
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-6240
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Country | US
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Telephone | 802-489-5552
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Fax | 802-488-5464
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Provider Business Mailing Address
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Address Line | 595 DORSET ST STE 4
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-6240
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Country | US
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Telephone | 802-489-5552
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Fax | 802-488-5464
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | CAROL B GAGNON
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Credential |
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Telephone | 802-448-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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