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General NPI Number Information
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NPI Number | 1447416292
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Entity Type | Individual
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Provider Name | MARLON CAJILIG TORRENTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 12/03/2023
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Provider Practice Location Address
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Address Line | 1447 US HIGHWAY 61 STE C
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City | FESTUS
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State | MO
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Zip | 63028-4151
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Country | US
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Telephone | 636-375-4153
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Fax | 636-333-4510
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Provider Business Mailing Address
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Address Line | PO BOX 270240
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City | SAINT LOUIS
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State | MO
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Zip | 63127-0240
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Country | US
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Telephone | 636-375-4153
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Fax | 636-333-4510
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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 | 2009022644
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2009022644
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License Number State | MO
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