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General NPI Number Information
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NPI Number | 1306828934
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Entity Type | Organization
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Legal Business Name | FAULKTON AREA MEDICAL CENTER
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 1300 OAK ST
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City | FAULKTON
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State | SD
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Zip | 57438-2149
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Country | US
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Telephone | 605-598-6262
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Fax | 605-598-4186
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Provider Business Mailing Address
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Address Line | PO BOX 100 1300 OAK STREET
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City | FAULKTON
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State | SD
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Zip | 57438-0100
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Country | US
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Telephone | 605-598-6262
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Fax | 605-598-4186
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Authorized Official
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Title or Position | CFO
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Name | SUSAN S MILLER
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Credential |
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Telephone | 605-598-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | SD
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