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General NPI Number Information
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NPI Number | 1801340294
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Entity Type | Individual
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Provider Name | JASON A BEILSTEIN DPT
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Gender | Male
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 12/12/2021
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Provider Practice Location Address
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Address Line | 5610 PEACEFUL PINES RD STE 4
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City | BLACK HAWK
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State | SD
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Zip | 57718-9556
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Country | US
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Telephone | 605-716-1300
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Fax | 605-737-0874
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Provider Business Mailing Address
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Address Line | 18 E KANSAS CITY ST #101
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City | RAPID CITY
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State | SD
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Zip | 57701-2971
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Country | US
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Telephone | 605-348-9530
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Fax | 605-737-0874
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1927
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License Number State | SD
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