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General NPI Number Information
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NPI Number | 1427433366
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Entity Type | Organization
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Legal Business Name | BEYOND PINK
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 560 RIVER DR
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-3007
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Country | US
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Telephone | 605-780-5333
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Fax | 605-780-5334
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Provider Business Mailing Address
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Address Line | PO BOX 1758
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-1758
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Country | US
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Telephone | 605-780-5333
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Fax | 605-780-5334
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Authorized Official
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Title or Position | OWNER
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Name | DIANE MELAND
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Credential |
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Telephone | 605-780-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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