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Individual
MR. STEPHEN M RAMBUR
Active
Individual
MR. STEPHEN M RAMBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003352
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068727
BLUE CROSS BLUE SHIELD
VT
05
—
1011584
—
VT
01
—
11461589
CAQH
VT
01
—
3352
FAHC
VT
01
—
398053
MVP
VT
01
—
68727
TVHP
VT
Enumeration date
06/20/2006
Last updated
12/20/2010
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