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General NPI Number Information
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NPI Number | 1609354042
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Entity Type | Individual
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Provider Name | ERIN RAE CALLAWAY
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Gender | Female
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Dates
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Enumeration Date | 07/28/2018
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1305 W 18TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-0401
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Country | US
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Telephone | 605-328-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 5605 S MANDY AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57106-2856
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Country | US
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Telephone | 605-212-9894
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R041463
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024187218
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License Number State | VA
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