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Organization
TACONIC ORTHOPAEDICS PC
Active
Organization
TACONIC ORTHOPAEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBBIN HUNT (CLERICAL MANAGER)
(802) 366-1144
Entity
Organization
Contact information
Practice address
3505 RICHVILLE RD, MANCHESTER CENTER, VT 05255-9812
(802) 366-1144
(802) 768-8466
Mailing address
3505 RICHVILLE ROAD, MANCHESTER CTR, VT 05255
(023) 661-1448
(802) 768-8466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018953
BC/BS
VT
01
—
00019364
BC/BS
VT
05
—
0005591
—
VT
01
—
635529
MVP
VT
01
—
932666
MVP
VT
Enumeration date
11/22/2006
Last updated
04/27/2020
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