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General NPI Number Information
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NPI Number | 1437255932
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Entity Type | Individual
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Provider Name | LAWRENCE J LORBIECKI III MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 1500 CURVE CREST BLVD W
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City | STILLWATER
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State | MN
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Zip | 55082-6040
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Country | US
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Telephone | 651-439-1234
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Fax | 651-351-0827
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Provider Business Mailing Address
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Address Line | 927 CHURCHILL ST W MEDICAL STAFF SERVICES
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City | STILLWATER
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State | MN
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Zip | 55082-6605
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Country | US
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Telephone | 651-430-8537
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Fax | 651-430-4646
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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 | 33799
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License Number State | MN
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