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General NPI Number Information
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NPI Number | 1790602977
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Entity Type | Individual
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Provider Name | LONNIE NICOLE MYERS OTD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 1110 W OMAHA ST # 3
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City | RAPID CITY
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State | SD
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Zip | 57701-8097
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Country | US
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Telephone | 605-721-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 814 BAR FIVE RANCH RD
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City | RAPID CITY
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State | SD
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Zip | 57703-4821
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Country | US
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Telephone | 701-570-7767
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | SD
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