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General NPI Number Information
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NPI Number | 1699616524
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Entity Type | Organization
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Legal Business Name | GROWTH CARE
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 300 N DAKOTA AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57104-6037
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Country | US
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Telephone | 701-660-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 300 N DAKOTA AVE STE 204
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City | SIOUX FALLS
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State | SD
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Zip | 57104-6023
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Country | US
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Telephone | 605-740-5123
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS BEATRICE N KOON II
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Credential | KOON
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Telephone | 701-660-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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