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General NPI Number Information
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NPI Number | 1811941172
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Entity Type | Organization
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Legal Business Name | SANFORD BISMARCK
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 565 S 7TH ST
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City | BISMARCK
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State | ND
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Zip | 58504-5859
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Country | US
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Telephone | 701-323-5550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone | 605-328-6585
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Fax |
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Authorized Official
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Title or Position | VP, CHIEF REVENUE CYCLE OFFICER
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Name | TONY LEE MORRISON
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Credential |
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Telephone | 605-328-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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