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General NPI Number Information
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NPI Number | 1023003969
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Entity Type | Organization
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Legal Business Name | HEART HOSPITAL OF SOUTH DAKOTA LLC
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 4500 W 69TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57108-8148
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Country | US
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Telephone | 605-977-7000
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Fax | 605-977-7001
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Provider Business Mailing Address
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Address Line | 4500 W 69TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57108-8148
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Country | US
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Telephone | 605-977-7000
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Fax | 605-977-7001
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Authorized Official
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Title or Position | CFO
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Name | BRIAN PEDERSON
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Credential |
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Telephone | 605-977-7009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 41953
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License Number State | SD
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