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General NPI Number Information
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NPI Number | 1093714073
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Entity Type | Organization
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Legal Business Name | SIOUXLAND SURGERY CENTER LIMITED LIABILITY PARTNERSHIP
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 600 N SIOUX POINT RD
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5000
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Country | US
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Telephone | 605-232-3332
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Fax | 605-232-0854
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Provider Business Mailing Address
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Address Line | 455 N SIOUX POINT RD
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5327
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Country | US
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Telephone | 605-217-7000
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Fax | 605-217-7015
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NICHOLAS CRAFTS
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Credential |
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Telephone | 832-729-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 10580
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License Number State | SD
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