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General NPI Number Information
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NPI Number | 1811976285
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Entity Type | Individual
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Provider Name | PATRICK D MUNSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 1310 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1501
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Country | US
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Telephone | 605-328-8200
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Fax | 605-328-8201
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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 | 605-328-6512
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | E-5952
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 47998
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 8038
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License Number State | SD
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