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General NPI Number Information
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NPI Number | 1861415127
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Entity Type | Individual
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Provider Name | PAMELA G ELSHERE PAC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 725 E FIGZEL CT SUITE 100
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City | TEA
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State | SD
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Zip | 57064-2276
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Country | US
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Telephone | 605-368-9899
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Fax | 605-368-5089
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Provider Business Mailing Address
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Address Line | 1200 S 7TH AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57105-0900
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Country | US
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Telephone | 605-504-5195
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Fax | 605-504-5150
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0567
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License Number State | SD
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