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General NPI Number Information
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NPI Number | 1992200232
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Entity Type | Individual
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Provider Name | DANIELLE RAE AKASON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 8000 BLACK HAWK RD STE 4
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City | BLACK HAWK
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State | SD
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Zip | 57718-3315
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Country | US
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Telephone | 605-431-3388
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Fax | 605-403-5356
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Provider Business Mailing Address
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Address Line | 8000 BLACK HAWK RD STE 4
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City | BLACK HAWK
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State | SD
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Zip | 57718-3315
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Country | US
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Telephone | 605-431-3388
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Fax | 605-403-5356
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R045554
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CP002312
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License Number State | SD
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