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General NPI Number Information
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NPI Number | 1639094154
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Entity Type | Individual
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Provider Name | KRISTINA J DINAN RN, LMT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 938 N AMES ST
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City | SPEARFISH
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State | SD
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Zip | 57783-1702
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Country | US
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Telephone | 605-580-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 19 LOURIE LN
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City | SPEARFISH
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State | SD
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Zip | 57783-1144
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Country | US
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Telephone | 605-580-5306
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT10876
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | SD-RN-R039069
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License Number State | SD
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