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General NPI Number Information
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NPI Number | 1932248309
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Entity Type | Organization
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Legal Business Name | BRATTLEBORO MUTUAL AID ASSOCIATION, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 80 MAPLE ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6551
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Country | US
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Telephone | 802-254-4977
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Fax | 802-254-8842
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Provider Business Mailing Address
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Address Line | 80 MAPLE ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6551
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Country | US
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Telephone | 802-254-4977
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Fax | 802-254-8842
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JAMES BRADFORD SUTTON
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Credential |
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Telephone | 802-254-4977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | VT
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