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General NPI Number Information
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NPI Number | 1639035926
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Entity Type | Organization
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Legal Business Name | AVERA ST BENEDICT HEALTH CENTER
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 102C S CHAPMAN DR
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City | PARKSTON
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State | SD
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Zip | 57366-2017
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Country | US
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Telephone | 605-928-4430
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Fax | 605-928-7368
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Provider Business Mailing Address
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Address Line | PO BOX 5045 ATTN PROVIDER ENROLLMENT
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5045
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Country | US
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Telephone | 605-928-4430
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Fax | 605-928-7368
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Authorized Official
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Title or Position | CEO
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Name | LINDSAY WEBER
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Credential |
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Telephone | 605-928-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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