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General NPI Number Information
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NPI Number | 1417197997
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Entity Type | Organization
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Legal Business Name | SAETRUM OPGAARD MD INC
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 9191 WESTMINSTER AVE STE 207
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City | GARDEN GROVE
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State | CA
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Zip | 92844-2751
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Country | US
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Telephone | 714-786-5794
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Fax | 714-786-5799
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Provider Business Mailing Address
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Address Line | PO BOX 12259
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City | WESTMINSTER
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State | CA
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Zip | 92685-2259
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Country | US
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Telephone | 949-228-6387
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Fax | 714-786-5799
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | OLE SAETRUM OPGAARD
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Credential | M.D.
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Telephone | 949-228-6387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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