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General NPI Number Information
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NPI Number | 1861168718
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Entity Type | Organization
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Legal Business Name | ALL BRAINS BELONG VT INC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 138 MAIN ST STE 4
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City | MONTPELIER
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State | VT
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Zip | 05602-2984
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Country | US
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Telephone | 802-234-1098
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Fax |
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Provider Business Mailing Address
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Address Line | 75 COLLEGE ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3110
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Country | US
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Telephone | 646-957-4836
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. MELISSA HOUSER
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Credential | MD
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Telephone | 321-663-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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