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General NPI Number Information
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NPI Number | 1710061163
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Entity Type | Individual
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Provider Name | KEVIN J TORBENSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 608 E MADISON AVE
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City | MANKATO
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State | MN
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Zip | 56001-6112
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Country | US
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Telephone | 507-345-1284
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Fax | 507-345-5723
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Provider Business Mailing Address
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Address Line | 46675 CAPE HORN RD
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City | CLEVELAND
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State | MN
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Zip | 56017-4537
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Country | US
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Telephone | 507-934-7392
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Fax | 507-345-5723
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8804
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License Number State | MN
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