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General NPI Number Information
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NPI Number | 1255516324
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Entity Type | Organization
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Legal Business Name | HARDING COUNTY HEALTHCARE LLC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 209 RAMSLAND STREET
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City | BUFFALO
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State | SD
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Zip | 57720-0182
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Country | US
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Telephone | 605-381-3608
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Fax | 605-342-3882
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Provider Business Mailing Address
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Address Line | PO BOX 212 209 RAMSLAND ST
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City | BUFFALO
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State | SD
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Zip | 57720-0212
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Country | US
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Telephone | 605-381-3608
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Fax | 605-342-3882
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Authorized Official
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Title or Position | PA
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Name | PATRICIA GILBERT
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Credential |
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Telephone | 605-381-3608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0529
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License Number State | SD
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