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General NPI Number Information
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NPI Number | 1083918171
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Entity Type | Organization
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Legal Business Name | SACRED HEART HEALTH SERVICES
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1503 MAIN ST
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City | CREIGHTON
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State | NE
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Zip | 68729-3019
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Country | US
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Telephone | 402-358-5700
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Fax | 402-358-5769
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Provider Business Mailing Address
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Address Line | PO BOX 86370
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City | SIOUX FALLS
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State | SD
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Zip | 57118-6370
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Country | US
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Telephone | 605-322-4933
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Fax | 605-504-9489
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Authorized Official
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Title or Position | REG. PRES./CEO
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Name | VICTORIA M HANSON
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Credential |
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Telephone | 605-668-8321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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