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General NPI Number Information
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NPI Number | 1275616021
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Entity Type | Individual
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Provider Name | CATHERINE MICHELLE BJERUM MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE LAKESIDE BUILDING SUITE 6223
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 602-828-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone | 505-272-1476
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60302205
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD20060462
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2006-0462
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD20060462
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License Number State | NM
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