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General NPI Number Information
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NPI Number | 1871592030
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Entity Type | Organization
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Legal Business Name | DAKOTA PLAINS SURGICAL LLP
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 701 8TH AVE NW
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City | ABERDEEN
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State | SD
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Zip | 57401-1803
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Country | US
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Telephone | 605-225-3300
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Fax | 605-225-3877
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Provider Business Mailing Address
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Address Line | 701 8TH AVE NW
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City | ABERDEEN
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State | SD
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Zip | 57401-1803
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Country | US
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Telephone | 605-225-3300
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Fax | 605-225-3877
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MRS. DEB PEDERSON
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Credential | RN
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Telephone | 605-226-9706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 10584
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License Number State | SD
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