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Individual
JAMES TAUTFEST
Active
Individual
JAMES TAUTFEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101-0017968
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010580
—
VT
01
—
18466
BLUE CROSS PROVIDER #
VT
Enumeration date
03/07/2007
Last updated
06/15/2015
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