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General NPI Number Information
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NPI Number | 1730330762
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Entity Type | Organization
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Legal Business Name | ROBERT J JAUCH, MD
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 714 BREEZY HILL RD
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City | ST JOHNSBURY
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State | VT
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Zip | 05819-8882
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Country | US
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Telephone | 802-748-5126
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Fax | 802-748-1107
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Provider Business Mailing Address
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Address Line | 714 BREEZY HILL RD
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City | ST JOHNSBURY
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State | VT
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Zip | 05819-8882
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Country | US
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Telephone | 802-748-5126
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Fax | 802-748-1107
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA JAUCH
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Credential |
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Telephone | 802-748-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 008425846
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 420006154
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License Number State | VT
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