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General NPI Number Information
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NPI Number | 1932259165
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Entity Type | Individual
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Provider Name | FREDERICK E DEUTSCH DC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 810 10TH ST SW
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City | WATERTOWN
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State | SD
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Zip | 57201-4110
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Country | US
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Telephone | 605-886-8650
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Fax | 605-886-8663
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Provider Business Mailing Address
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Address Line | 810 10TH ST SW
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City | WATERTOWN
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State | SD
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Zip | 57201-4110
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Country | US
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Telephone | 605-886-8650
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Fax | 605-886-8663
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 634
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License Number State | SD
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