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General NPI Number Information
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NPI Number | 1881163723
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Entity Type | Organization
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Legal Business Name | COMPASS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 1151 W MAIN ST
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City | RICHMOND
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State | VT
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Zip | 05477-4472
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Country | US
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Telephone | 802-662-3592
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Fax | 802-332-3099
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Provider Business Mailing Address
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Address Line | 11 WOODLAND DR
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City | UNDERHILL
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State | VT
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Zip | 05489-9220
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Country | US
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Telephone | 802-662-3592
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Fax | 802-332-3099
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | DR. SARAH PAQUETTE
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Credential | DC
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Telephone | 802-662-3592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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