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General NPI Number Information
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NPI Number | 1053385773
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Entity Type | Individual
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Provider Name | TORBJORN INGVAR JORETEG MD PHD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 HERITAGE WAY
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-755-7785
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Fax | 406-755-7857
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Provider Business Mailing Address
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Address Line | 555 MISSION DRIVE
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City | CONDON
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State | MT
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Zip | 59826
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Country | US
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Telephone | 406-754-6453
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Fax | 406-754-6453
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 10735
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A052530
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License Number State | CA
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