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General NPI Number Information
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NPI Number | 1275791238
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Entity Type | Individual
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Provider Name | SUSAN STERUD PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 2501 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1305
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Country | US
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Telephone | 605-336-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 24327 477TH AVE
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City | DELL RAPIDS
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State | SD
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Zip | 57022-6132
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Country | US
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Telephone | 605-428-4383
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5305
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License Number State | SD
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