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General NPI Number Information
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NPI Number | 1407107808
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Entity Type | Organization
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Legal Business Name | SANFORD MEDICAL CENTER
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1210 W 18TH ST SUITE LLO1
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City | SIOUX FALLS
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State | SD
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Zip | 57104-4647
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Country | US
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Telephone | 605-328-1860
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Fax | 605-328-1857
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Provider Business Mailing Address
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Address Line | 1210 W 18TH ST SUITE LLO1
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City | SIOUX FALLS
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State | SD
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Zip | 57104-4647
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Country | US
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Telephone | 605-328-1860
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Fax | 605-328-1857
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. STEPHANIE ANN RAHN
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Credential | P.T.
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Telephone | 605-328-1860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1406
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License Number State | SD
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