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General NPI Number Information
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NPI Number | 1306291489
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Entity Type | Organization
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Legal Business Name | GSSHUMAKER, PLLC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 921 SPYGLASS CIR
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5101
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Country | US
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Telephone | 712-490-8422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-0736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DAWN BAUERLY
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Credential |
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Telephone | 712-333-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number |
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License Number State |
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