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NPI 1861063232

NPI 1861063232 : SHANNA FRANK : BROOKINGS, SD

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General NPI Number Information
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    NPI Number           |    1861063232
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    Entity Type          |    Individual 
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    Provider Name        |    SHANNA FRANK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2021
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    2311 YORKSHIRE DR STE 2 
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    City                 |    BROOKINGS
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    State                |    SD
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    Zip                  |    57006-2446
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    Country              |    US
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    Telephone            |    605-697-7336
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1302 CHRISTINE CIR 
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    City                 |    BROOKINGS
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    State                |    SD
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    Zip                  |    57006-4178
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    Country              |    US
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    Telephone            |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2328
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    License Number State |    SD
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