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General NPI Number Information
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NPI Number | 1205359031
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Entity Type | Organization
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Legal Business Name | AVERA QUEEN OF PEACE
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 525 N FOSTER ST
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City | MITCHELL
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State | SD
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Zip | 57301-2966
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Country | US
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Telephone | 605-995-2000
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Fax | 605-995-5683
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Provider Business Mailing Address
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Address Line | PO BOX 86370
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City | SIOUX FALLS
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State | SD
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Zip | 57118-6370
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Country | US
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Telephone | 605-322-4933
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Fax | 605-504-9489
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Authorized Official
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Title or Position | REGIONAL PRESIDENT / CEO
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Name | HILARY R. ROCKWELL
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Credential |
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Telephone | 605-995-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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