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NPI 1245760479

NPI 1245760479 : ANGELA REBECCA MCELMURAY DUNDEE LISW : DAKOTA DUNES, SD

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General NPI Number Information
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    NPI Number           |    1245760479
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA REBECCA MCELMURAY DUNDEE LISW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2017
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    380 W ANCHOR DR 
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    City                 |    DAKOTA DUNES
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    State                |    SD
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    Zip                  |    57049-5273
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    Country              |    US
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    Telephone            |    605-359-6562
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    Fax                  |    605-232-2890
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Provider Business Mailing Address
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    Address Line         |    380 W ANCHOR DR 
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    City                 |    DAKOTA DUNES
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    State                |    SD
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    Zip                  |    57049-5273
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    Country              |    US
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    Telephone            |    605-359-6562
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    Fax                  |    605-232-2890
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    086946
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    License Number State |    IA
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