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General NPI Number Information
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NPI Number | 1902877954
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Entity Type | Individual
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Provider Name | PHYLLIS A SATINK MS, APRN, CS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2006
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 425 POKER HILL RD
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City | UNDERHILL
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State | VT
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Zip | 05489-9383
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Country | US
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Telephone | 802-373-1386
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Fax | 877-852-2315
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Provider Business Mailing Address
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Address Line | 425 POKER HILL RD
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City | UNDERHILL
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State | VT
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Zip | 05489-9383
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Country | US
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Telephone | 802-373-1386
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Fax | 877-852-2315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 101-0008503
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068-0000082
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License Number State | VT
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