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General NPI Number Information
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NPI Number | 1508279738
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Entity Type | Individual
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Provider Name | LACEY KESSLER MD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 8001 W 5TH ST
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City | BOWDLE
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State | SD
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Zip | 57428
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Country | US
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Telephone | 605-285-6146
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Fax | 605-285-6410
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Provider Business Mailing Address
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Address Line | 8001 W 5TH ST
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City | BOWDLE
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State | SD
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Zip | 57428
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Country | US
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Telephone | 605-285-6146
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Fax | 605-285-6410
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10531
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License Number State | SD
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