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General NPI Number Information
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NPI Number | 1558297879
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Entity Type | Organization
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Legal Business Name | EDIT MEDICAL PLLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 307 N BROADWAY AVE
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City | MILLER
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State | SD
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Zip | 57362-1341
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Country | US
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Telephone | 605-870-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 421 5TH ST SE
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City | HIGHMORE
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State | SD
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Zip | 57345-2220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY KERR
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Credential | PA-C
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Telephone | 605-870-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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