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General NPI Number Information
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NPI Number | 1962161745
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Entity Type | Organization
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Legal Business Name | LITTLE RIVERS HEALTH CARE, INC.
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 6 WAITS RIVER VLY SCHOOL RD
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City | EAST CORINTH
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State | VT
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Zip | 05040-9776
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Country | US
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Telephone | 802-222-3000
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Fax | 802-222-5654
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | NEWBURY
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State | VT
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Zip | 05051-0008
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Country | US
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Telephone | 802-222-3000
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Fax | 802-222-5654
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Authorized Official
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Title or Position | CEO
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Name | ANDREW I BARTER
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Credential |
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Telephone | 802-222-4637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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