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General NPI Number Information
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NPI Number | 1558221473
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Entity Type | Organization
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Legal Business Name | BLACK HILLS MEDICAL GROUP LLP
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 717 SAINT FRANCIS ST
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City | RAPID CITY
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State | SD
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Zip | 57701-4677
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Country | US
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Telephone | 605-431-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 3289 SANDSTONE LN
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City | RAPID CITY
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State | SD
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Zip | 57701-5388
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Country | US
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Telephone | 605-431-8586
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HEATHER BINDEL
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Credential |
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Telephone | 605-431-8586
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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