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General NPI Number Information
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NPI Number | 1205800695
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Entity Type | Individual
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Provider Name | LAURA S METSCH MD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 21 BELMONT AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7110
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Country | US
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Telephone | 802-258-3905
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Fax | 802-258-4903
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Provider Business Mailing Address
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Address Line | 17 BELMONT AVE STE 190
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7601
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Country | US
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Telephone | 802-257-8203
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Fax | 802-257-8834
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 042-0008969
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License Number State | VT
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