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General NPI Number Information
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NPI Number | 1396805297
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL ASSOCIATES OF YANKTON, LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 2703 FOX RUN PKWY STE 200
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City | YANKTON
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State | SD
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Zip | 57078-5382
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Country | US
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Telephone | 605-665-0258
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Fax | 605-665-2707
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Provider Business Mailing Address
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Address Line | 2703 FOX RUN PKWY STE 200
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City | YANKTON
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State | SD
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Zip | 57078-5382
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Country | US
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Telephone | 605-665-0258
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Fax | 605-665-2707
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. TARYN SUE VAN GILDER-PIERCE
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Credential |
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Telephone | 605-665-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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