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General NPI Number Information
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NPI Number | 1235416264
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Entity Type | Organization
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Legal Business Name | CATHOLIC FAMILY SERVICES
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 1321 8TH ST
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City | BROOKINGS
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State | SD
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Zip | 57006-0730
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Country | US
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Telephone | 605-988-3775
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Fax | 605-988-3747
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Provider Business Mailing Address
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Address Line | 523 N DULUTH AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57104-2714
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Country | US
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Telephone | 605-988-3775
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Fax | 605-988-3747
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | DOROTHY EILEEN GARCIA
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Credential |
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Telephone | 605-988-3775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00604
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License Number State | IA
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