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General NPI Number Information
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NPI Number | 1932187267
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Entity Type | Individual
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Provider Name | CLAUDE DESCHAMPS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE EXECUTIVE OFFICE, PATRICK 318
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-2779
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Fax | 802-847-5677
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE EXECUTIVE OFFICE, PATRICK 318
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-2779
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Fax | 802-847-5677
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 29921
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0420012806
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License Number State | VT
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