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General NPI Number Information
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NPI Number | 1154752640
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Entity Type | Individual
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Provider Name | LINDSEY MARIE SIVERTSEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 1605 MAIN ST.
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City | TYNDALL
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State | SD
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Zip | 57066
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Country | US
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Telephone | 605-384-5419
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Fax | 605-384-5410
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Provider Business Mailing Address
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Address Line | 40977 277TH ST
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City | PARKSTON
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State | SD
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Zip | 57366-5622
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Country | US
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Telephone | 605-661-9639
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1243
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License Number State | SD
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