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General NPI Number Information
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NPI Number | 1659360311
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH AUDET JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 54 FRANKLIN ST SUITE 104
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City | WEYERS CAVE
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State | VA
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Zip | 24486-2340
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Country | US
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Telephone | 540-234-0080
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Fax | 540-234-8688
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | WEYERS CAVE
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State | VA
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Zip | 24486-0039
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Country | US
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Telephone | 540-234-0080
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Fax | 540-234-8688
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 0101231993
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License Number State | VA
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