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General NPI Number Information
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NPI Number | 1396327698
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Entity Type | Organization
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Legal Business Name | ST BENEDICT HEALTH CENTER
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 310 S MAIN ST
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City | TRIPP
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State | SD
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Zip | 57376-2154
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Country | US
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Telephone | 605-935-7211
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Fax | 605-935-7212
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Provider Business Mailing Address
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Address Line | PO BOX 5045 PRV ENRLMT PALM PLACE BLDG
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5045
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Country | US
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Telephone | 605-322-6400
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Fax | 605-322-6499
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | LINDSAY WEBER
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Credential |
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Telephone | 605-928-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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