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Individual
DR. CRYSTAL LEE PADEN
Active
Individual
DR. CRYSTAL LEE PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1348
NE
111N00000X
Chiropractor
Primary
985
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040463
WELLMARK PROVIDER NUMBER
SD
05
—
100252238-00
—
NE
01
—
22354
SIOUX VALLEY HEALTH PLAN
SD
01
—
239570
MIDLANDS CHOICE NUMBER
SD
01
—
6889
AVERA NUMBER
SC
05
—
7601520
—
SD
Enumeration date
02/15/2006
Last updated
02/06/2013
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