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General NPI Number Information
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NPI Number | 1538553953
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Entity Type | Individual
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Provider Name | DAWN KRULL RPH
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Gender | Female
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 2503 E 54TH ST N
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City | SIOUX FALLS
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State | SD
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Zip | 57104-5563
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Country | US
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Telephone | 605-978-3900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5735
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5735
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Country | US
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Telephone | 605-978-3900
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4979
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License Number State | SD
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