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General NPI Number Information
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NPI Number | 1013674308
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Entity Type | Individual
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Provider Name | MACY TOELLE
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Gender | Female
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 310 E MAIN ST
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City | PARKSTON
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State | SD
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Zip | 57366-2014
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Country | US
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Telephone | 605-928-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E 8TH AVE APT 308
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City | MITCHELL
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State | SD
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Zip | 57301-2160
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Country | US
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Telephone | 320-305-2844
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1427
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License Number State | SD
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