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General NPI Number Information
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NPI Number | 1013965466
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Entity Type | Individual
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Provider Name | MARY E MEIERHENRY MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 414 W 18TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57104-4810
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Country | US
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Telephone | 605-271-2200
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Fax | 605-271-2798
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Provider Business Mailing Address
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Address Line | PO BOX 5126
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5126
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Country | US
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Telephone | 605-335-1952
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Fax | 605-373-9971
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4617
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License Number State | SD
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