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General NPI Number Information
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NPI Number | 1972028348
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Entity Type | Individual
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Provider Name | ALISYN VICTORIA GRAESSER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 909 N IOWA AVE
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City | DELL RAPIDS
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State | SD
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Zip | 57022-1231
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Country | US
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Telephone | 605-428-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 W TREVI PL APT 365
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City | SIOUX FALLS
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State | SD
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Zip | 57108-7520
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Country | US
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Telephone | 605-830-1570
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2010
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License Number State | SD
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