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General NPI Number Information
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NPI Number | 1881633923
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Entity Type | Organization
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Legal Business Name | CENTRAL VERMONT MEDICAL CENTER INC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 130 FISHER RD
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City | BERLIN
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State | VT
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Zip | 05602-9516
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Country | US
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Telephone | 802-371-4100
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Fax | 802-371-4488
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Provider Business Mailing Address
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Address Line | PO BOX 547 CVMC-FINANCE DEPT
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City | BARRE
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State | VT
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Zip | 05641-0547
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Country | US
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Telephone | 802-371-4100
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Fax | 802-371-4488
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Authorized Official
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Title or Position | CFO
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Name | CHEYENNE HOLLAND
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Credential |
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Telephone | 802-371-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 666
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License Number State | VT
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