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Contact Information

TAIRA PETERSON
623 DAHL RD
SPEARFISH, SD57783-2782
 Phone: 605-642-2777
 Fax: 605-642-9356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TAIRA PETERSON · (Female)

NPI Number 1982063400
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2016
Last updated 02/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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