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General NPI Number Information
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NPI Number | 1053456558
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Entity Type | Organization
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Legal Business Name | SANFORD VERMILLION HOSPITAL PHARMACY
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 20 S PLUM ST
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City | VERMILLION
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State | SD
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Zip | 57069-3346
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Country | US
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Telephone | 605-638-8455
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Fax | 605-624-8535
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Provider Business Mailing Address
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Address Line | 20 S PLUM ST
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City | VERMILLION
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State | SD
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Zip | 57069-3346
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Country | US
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Telephone | 605-677-3660
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Fax | 605-677-3661
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | CAROLYN TUTTLE
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Credential |
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Telephone | 605-328-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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