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General NPI Number Information
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NPI Number | 1992999213
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Entity Type | Organization
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Legal Business Name | ADAPTIVATION, INC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 2225 W 50TH ST STE 100
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6536
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Country | US
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Telephone | 605-335-4445
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Fax | 605-335-4446
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Provider Business Mailing Address
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Address Line | 2225 W 50TH ST STE 100
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6536
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Country | US
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Telephone |
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Fax | 605-335-4446
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | AUDREY WHEELER
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Credential |
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Telephone | 605-335-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 9166750
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License Number State | SD
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