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Individual

DR. DIANE A DAPOLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
91 MAIN STREET, MIDDLEBURY, VT 05753
(802) 388-2811
(802) 388-8265
Mailing address
91 MAIN STREET, MIDDLEBURY, VT 05753
(802) 388-2811
(802) 388-8265

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
300000244
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN0364
VT
01
18677
BCBS
01
59V023
MVP
Enumeration date
11/07/2006
Last updated
09/12/2012
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