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General NPI Number Information
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NPI Number | 1275956948
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Entity Type | Organization
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Legal Business Name | BLACK HILLS TRANSIT INC
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 436 E COLORADO BLVD
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City | SPEARFISH
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State | SD
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Zip | 57783-2769
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Country | US
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Telephone | 605-642-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 135 E COLORADO BLVD
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City | SPEARFISH
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State | SD
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Zip | 57783-2755
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Country | US
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Telephone | 605-642-2250
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BARBARA K CLINE
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Credential |
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Telephone | 605-642-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State | SD
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