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General NPI Number Information
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NPI Number | 1497713424
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Entity Type | Organization
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Legal Business Name | HEARTLAND ORTHOPEDIC CLINIC PC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 1727 S CLEVELAND AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57103-3245
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Country | US
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Telephone | 605-333-0400
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Fax | 605-333-4875
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Provider Business Mailing Address
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Address Line | 1727 S CLEVELAND AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57103-3245
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Country | US
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Telephone | 605-333-0400
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Fax | 605-333-4875
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL G MACRANDALL
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Credential | MD
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Telephone | 605-333-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | SD
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