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General NPI Number Information
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NPI Number | 1124182100
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Entity Type | Individual
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Provider Name | BERTON JAMES TOEWS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 4911 E 16TH ST
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City | CASPER
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State | WY
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Zip | 82609-3764
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Country | US
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Telephone | 307-259-4884
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Fax | 307-242-5050
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Provider Business Mailing Address
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Address Line | 4911 E 16TH ST
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City | CASPER
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State | WY
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Zip | 82609-3764
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Country | US
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Telephone | 307-259-4884
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Fax | 307-242-5050
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A2627A
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License Number State | WY
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