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General NPI Number Information
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NPI Number | 1376514877
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Entity Type | Organization
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Legal Business Name | RURAL MEDICAL CLINICS, PA
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 301 SOUTH HIGH STREET
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City | MENNO
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State | SD
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Zip | 57045-2125
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Country | US
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Telephone | 605-387-5435
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | MENNO
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State | SD
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Zip | 57045-2125
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Country | US
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Telephone | 605-387-5435
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DENNIS D RIES
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Credential | MD
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Telephone | 605-925-4219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | SD
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