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General NPI Number Information
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NPI Number | 1225251176
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Entity Type | Individual
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Provider Name | DELAINE M RASMUSSEN MS, RD, LN
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 205 ORCHARD DR
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City | SISSETON
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State | SD
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Zip | 57262-2312
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Country | US
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Telephone | 605-698-7647
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Fax | 605-698-4284
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Provider Business Mailing Address
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Address Line | 44929 124TH ST
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City | SISSETON
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State | SD
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Zip | 57262-7211
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Country | US
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Telephone | 605-698-7545
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Fax | 605-698-3472
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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 | 0292
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License Number State | SD
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