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Organization

TACONIC ESSENTIAL PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW T DAYTON LNA (CO OWNER / PRACTICE MANAGER)
(802) 772-7107
Entity
Organization

Contact information

Practice address
228 S MAIN ST APT 51, RUTLAND, VT 05701-4868
(802) 772-7107
(802) 772-9003
Mailing address
PO BOX 1280, RUTLAND, VT 05701-1280
(802) 772-7107
(802) 772-9003

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6712491
VT
Enumeration date
01/20/2025
Last updated
08/24/2026
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