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General NPI Number Information
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NPI Number | 1770559007
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Entity Type | Individual
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Provider Name | STEPHEN ERROL NANTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 1417 S. CLIFF AVE STE 100
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1014
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Country | US
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Telephone | 605-322-3666
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Fax | 605-322-3665
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Provider Business Mailing Address
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Address Line | PO BOX 86370
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City | SIOUX FALLS
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State | SD
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Zip | 57118-6370
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Country | US
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Telephone | 605-322-7510
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Fax | 605-322-6475
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 5614
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License Number State | SD
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