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General NPI Number Information
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NPI Number | 1992743165
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Entity Type | Individual
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Provider Name | ELIZABETH ANN FORBES MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE
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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 | 802-847-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 VETERANS MEMORIAL PKWY
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City | RIVERSIDE
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State | RI
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Zip | 02915-5061
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Country | US
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Telephone | 401-432-1000
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Fax | 401-432-1509
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 042.0013989
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License Number State | VT
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