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NPI Code Detail

MEDICARE: ROBERT H DORAN

MEDICARE: ROBERT H DORAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker089.0128107VT

General Provider Information

NPI Number : 1275165987
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT H DORAN
Provider Business Mailing Address
First Line : 89 MAIN ST
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1483
Country : US
Telephone Number : 802-388-6751
Fax Number : 802-388-3108
Provider Business Practice Location Address
First Line : 89 MAIN ST
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1483
Country : US
Telephone Number : 802-388-6751
Fax Number : 802-388-3108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2020
Last Update Date : 02/11/2020

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Directions to “ ROBERT H DORAN ” Practice Location

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