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NPI Code Detail

MEDICARE: JANET PANK HCP

MEDICARE: JANET PANK HCP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist432HSD
2237700000XHearing Instrument Specialist074797IA
3237700000XHearing Instrument Specialist801NE

General Provider Information

NPI Number : 1063876803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET PANK HCP
Provider Business Mailing Address
First Line : 1208 E 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5410
Country : US
Telephone Number : 605-274-0280
Fax Number :
Provider Business Practice Location Address
First Line : 1208 E 57TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5410
Country : US
Telephone Number : 605-274-0280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2016
Last Update Date : 04/07/2016

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Directions to “ JANET PANK HCP” Practice Location

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