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General NPI Number Information
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NPI Number | 1235155474
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Entity Type | Individual
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Provider Name | SHERRY LEE LULF RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HWY 34 & 47
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City | FORT THOMPSON
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State | SD
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Zip | 57339-0200
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Country | US
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Telephone | 605-245-1502
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Fax | 605-245-2384
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Provider Business Mailing Address
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Address Line | 101 S 3RD AVE
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City | RELIANCE
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State | SD
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Zip | 57569-2012
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Country | US
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Telephone | 605-473-0221
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Fax | 605-245-2384
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R026808
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License Number State | SD
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