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Individual
PAUL D. BOUTIN
Active
Individual
PAUL D. BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
042 0011364
VT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
042.0011364
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013948
—
VT
05
—
3113771
—
NH
Enumeration date
08/16/2006
Last updated
11/27/2019
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