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Individual
DR. CLYDE A DIEDE
Active
Individual
DR. CLYDE A DIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003826
BCBS
SD
01
—
18336
MEDICAID
ND
01
—
241873
MIDLANDS CHOICE
—
01
—
26403
BCBS
NE
01
—
33246
SIOUX VALLEY HEALTH PLAN
—
01
—
410238
ACN
—
05
—
7600320
—
SD
Enumeration date
02/08/2006
Last updated
08/20/2017
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