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General NPI Number Information
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NPI Number | 1275509838
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Entity Type | Individual
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Provider Name | JASON R BAUERSCHLAG MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1323 E FRANKLIN ST SUITE 105
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City | HILLSBORO
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State | TX
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Zip | 76645-2678
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Country | US
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Telephone | 254-582-7481
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Fax | 254-580-1584
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Provider Business Mailing Address
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Address Line | PO BOX 18962
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City | BELFAST
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State | ME
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Zip | 04915-4084
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Country | US
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Telephone | 800-566-5050
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Fax | 254-580-1584
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K7657
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License Number State | TX
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