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General NPI Number Information
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NPI Number | 1578425930
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Entity Type | Individual
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Provider Name | STEVEN ROMAN MENDEZ-CIFUENTES PTA
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1101 BROADWAY AVE STE 115B
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City | YANKTON
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State | SD
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Zip | 57078-2836
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Country | US
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Telephone | 605-260-5003
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Fax | 605-260-5005
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Provider Business Mailing Address
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Address Line | 716 ROSE ST APT 101
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City | VERMILLION
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State | SD
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Zip | 57069-1307
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Country | US
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Telephone | 308-379-5422
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 0666
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License Number State | SD
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