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General NPI Number Information
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NPI Number | 1205039054
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Entity Type | Individual
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Provider Name | LINDA ANN FELLOWS RD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 500 N 5TH ST BHHCS, NFS- TELEHEALTH
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City | HOT SPRINGS
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State | SD
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Zip | 57747-1480
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Country | US
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Telephone | 605-745-2000
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Fax | 605-745-7206
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Provider Business Mailing Address
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Address Line | 500 N. 5TH STREET BHHCS - NFS TELEHEALTH
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City | HOT SPRINGS
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State | SD
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Zip | 57747
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Country | US
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Telephone | 605-745-2000
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Fax | 605-745-7206
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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