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Brendan Copley

NPI Registration Record

Provider / OrganizationNPIDate Certified
BRENDAN COPLEY18519061352020-09-13
Entity TypeIndividual
Provider NameMr. Brendan Copley MBA, ATC
Practice Office Address352 BELAIR DR
COLCHESTER, VT US
Practice Office Telephone8022333634
Mailing Address352 BELAIR DR
COLCHESTER, VT 054466544 US
Business Telephone8022333634
HPT Codes
CodeLicense NoState
2255A2300X PRIMARY
OPI Codes
2000028301 OTHER BOC

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