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General NPI Number Information
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NPI Number | 1215992326
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Entity Type | Individual
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Provider Name | BRENDA C HOLSCHER P.A.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 80 N MAIN ST
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City | WAUBAY
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State | SD
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Zip | 57273
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Country | US
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Telephone | 605-947-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 44621 142ND ST
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City | WAUBAY
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State | SD
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Zip | 57273-5736
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Country | US
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Telephone | 605-947-4152
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0317
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License Number State | SD
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