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General NPI Number Information
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NPI Number | 1285926261
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Entity Type | Individual
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Provider Name | ALESE M ALLERDINGS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 801 3RD ST SW
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City | DE SMET
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State | SD
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Zip | 57231-2224
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Country | US
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Telephone | 605-854-3834
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Fax |
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Provider Business Mailing Address
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Address Line | 801 3RD ST SW
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City | DE SMET
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State | SD
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Zip | 57231-2224
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Country | US
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Telephone | 605-854-3834
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Fax | 605-854-6099
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9299
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License Number State | SD
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