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General NPI Number Information
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NPI Number | 1144954678
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Entity Type | Organization
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Legal Business Name | DAKOTA SPEECH AND SWALLOW CENTER
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 4447 S CANYON RD STE 6
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City | RAPID CITY
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State | SD
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Zip | 57702-1889
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Country | US
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Telephone | 605-443-6164
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Fax | 605-412-8021
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Provider Business Mailing Address
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Address Line | 4447 S CANYON RD STE 6
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City | RAPID CITY
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State | SD
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Zip | 57702-1889
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Country | US
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Telephone | 605-443-6164
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Fax | 605-412-8021
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Authorized Official
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Title or Position | CO-OWNER/SPEECH-LANGUAGE PATHOLOGIS
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Name | TIFFANY TRASK
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Credential |
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Telephone | 605-443-6164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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