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General NPI Number Information
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NPI Number | 1942158449
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Entity Type | Individual
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Provider Name | KYAH MICHELLE ESCOBIN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 2101 W 69TH ST UNIT 102
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5622
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Country | US
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Telephone | 605-782-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E 15TH AVE
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City | MITCHELL
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State | SD
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Zip | 57301-1104
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Country | US
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Telephone | 605-770-9969
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 6248
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License Number State | SD
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