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General NPI Number Information
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NPI Number | 1154064269
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Entity Type | Organization
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Legal Business Name | MIDWEST MENTAL HEALTH OF SD LLC
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Dates
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Enumeration Date | 04/16/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 505 N RIVER ST
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City | HOT SPRINGS
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State | SD
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Zip | 57747-4401
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Country | US
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Telephone | 605-515-2228
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N RIVER ST STE 2
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City | HOT SPRINGS
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State | SD
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Zip | 57747-4400
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Country | US
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Telephone | 605-745-3320
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | TRACY ROMEY
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Credential |
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Telephone | 605-745-3320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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