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General NPI Number Information
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NPI Number | 1912076100
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Entity Type | Organization
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Legal Business Name | SIOUX FALLS CARDIOVASCULAR PC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6709 S MINNESOTA AVE STE 101
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City | SIOUX FALLS
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State | SD
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Zip | 57108-2593
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Country | US
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Telephone | 605-274-6300
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Fax | 877-616-4723
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Provider Business Mailing Address
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Address Line | 6709 S MINNESOTA AVE STE 101
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City | SIOUX FALLS
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State | SD
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Zip | 57108-2593
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Country | US
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Telephone | 605-274-6300
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Fax | 877-616-4723
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Authorized Official
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Title or Position | PROVIDER
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Name | KEVIN J VASKA
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Credential | MD
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Telephone | 605-274-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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