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General NPI Number Information
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NPI Number | 1205090297
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Entity Type | Individual
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Provider Name | PHINIT PHISITKUL MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 575 N SIOUX POINT ROAD
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5312
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Country | US
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Telephone | 605-217-2667
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Fax | 605-217-2900
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Provider Business Mailing Address
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Address Line | 575 N SIOUX POINT RD
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5312
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Country | US
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Telephone | 605-217-2667
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Fax | 605-217-2900
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 36706
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD-36706
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 13145
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 31630
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License Number State | NE
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