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General NPI Number Information
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NPI Number | 1417565185
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HEALTH CENTERS OF BROOKINGS
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 100 22ND AVE S
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City | BROOKINGS
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State | SD
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Zip | 57006-2654
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Country | US
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Telephone | 605-882-0100
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Fax | 605-882-6911
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Provider Business Mailing Address
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Address Line | 100 22ND AVE S
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City | BROOKINGS
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State | SD
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Zip | 57006-2654
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Country | US
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Telephone | 605-882-0100
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Fax | 605-882-6911
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | RANAE D HEDGES
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Credential |
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Telephone | 605-882-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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