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General NPI Number Information
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NPI Number | 1811657497
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Entity Type | Organization
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Legal Business Name | COMPLETE INTEGRATED CARE, PLLC
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 5000 S MAC ARTHUR LN STE 104
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5407
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Country | US
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Telephone | 605-231-8424
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Fax | 605-231-8424
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Provider Business Mailing Address
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Address Line | 6404 S EL DORADO AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57108-8446
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Country | US
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Telephone | 605-231-8424
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Fax | 605-231-8424
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA HEUER
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Credential | CNP, PMHNP-BC
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Telephone | 605-280-4271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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