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General NPI Number Information
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NPI Number | 1174722169
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Entity Type | Organization
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Legal Business Name | CHILDREN'S CARE HOSPITAL AND SCHOOL
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 7110 JORDAN DRIVE
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City | RAPID CITY
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State | SD
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Zip | 57702-8738
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Country | US
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Telephone | 605-791-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 W 26TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-2446
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Country | US
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Telephone | 605-444-9500
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Fax | 605-444-9601
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. DIANNA RAJSKI
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Credential |
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Telephone | 605-444-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 10562
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License Number State | SD
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