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General NPI Number Information
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NPI Number | 1316342306
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Entity Type | Organization
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Legal Business Name | DPX ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 5028 S CLIFF AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5432
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Country | US
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Telephone | 605-275-9442
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Fax | 605-275-9448
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Provider Business Mailing Address
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Address Line | 5028 S CLIFF AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5432
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Country | US
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Telephone | 605-275-9442
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Fax | 605-275-9448
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. DANIEL PETERSON
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Credential | PHARM D.
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Telephone | 605-366-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 100-2018
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License Number State | SD
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