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General NPI Number Information
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NPI Number | 1386486280
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Entity Type | Individual
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Provider Name | MOLLY KATHLEEN HEENEY CNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2024
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2100 S MARION RD
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City | SIOUX FALLS
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State | SD
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Zip | 57106-3646
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Country | US
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Telephone | 605-322-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 820 W 2ND AVE
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City | LENNOX
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State | SD
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Zip | 57039-2343
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Country | US
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Telephone | 605-360-3336
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP003224
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License Number State | SD
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