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General NPI Number Information
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NPI Number | 1003860594
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Entity Type | Organization
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Legal Business Name | GENERAL SURGERY AND DIAGNOSTICS PC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 612 N SIOUX POINT RD SUITE 400
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5088
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Country | US
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Telephone | 605-232-6353
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Fax |
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Provider Business Mailing Address
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Address Line | 612 N SIOUX POINT RD SUITE 400
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5088
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Country | US
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Telephone | 605-232-6353
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Fax |
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Authorized Official
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Title or Position | ASSISTANT OFFICE MANAGER
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Name | CINDY HESSE
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Credential |
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Telephone | 605-232-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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