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General NPI Number Information
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NPI Number | 1285954933
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Entity Type | Individual
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Provider Name | BJORN BATDORF M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3300 OAKDALE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2926
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Country | US
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Telephone | 763-520-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 612-624-8199
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 2017-00804
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License Number State | NC
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