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General NPI Number Information
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NPI Number | 1912046764
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Entity Type | Organization
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Legal Business Name | NETWORKS, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 125 COLLEGE ST STE 3
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City | BURLINGTON
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State | VT
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Zip | 05401-8444
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Country | US
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Telephone | 802-863-2495
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Fax | 802-865-0534
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Provider Business Mailing Address
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Address Line | PO BOX 581
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City | BURLINGTON
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State | VT
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Zip | 05402-0581
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Country | US
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Telephone | 802-863-2495
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Fax | 802-865-0534
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID S GANAPOL
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Credential | LICSW
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Telephone | 802-863-2495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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