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General NPI Number Information
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NPI Number | 1447201306
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Entity Type | Individual
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Provider Name | TERRY L TRUCANO CSW
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 890 LAZELLE ST
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City | STURGIS
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State | SD
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Zip | 57785-1611
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Country | US
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Telephone | 605-347-3616
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Fax | 605-347-4713
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Provider Business Mailing Address
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Address Line | PO BOX 3450
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City | RAPID CITY
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State | SD
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Zip | 57709-3450
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Country | US
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Telephone | 605-347-3616
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Fax | 605-347-4713
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 826
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License Number State | SD
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