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General NPI Number Information
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NPI Number | 1770762536
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Entity Type | Organization
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Legal Business Name | ROBERT J. DUCH M.D.S.C.
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 121 N ELM ST
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City | HINSDALE
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State | IL
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Zip | 60521-3765
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Country | US
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Telephone | 630-230-0277
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Fax | 630-541-6915
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Provider Business Mailing Address
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Address Line | 1813 EATON DR
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City | WOODRIDGE
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State | IL
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Zip | 60517-4612
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Country | US
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Telephone | 630-230-0277
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Fax | 630-541-6915
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JOSEPH DUCH
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Credential | M.D.
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Telephone | 630-230-0277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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