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Individual

DANIEL S RABBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
206 MILITARY RD, N SIOUX CITY, SD 57049
(605) 232-3937
(605) 235-1350
Mailing address
PO BOX 1993, N SIOUX CITY, SD 57049-1993
(605) 232-3937
(605) 235-1350

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0547
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005536
BLUE CROSS BLUE SHIELD
SD
05
0541748
IA
05
10024990600
NE
01
20033
SPECTERA
01
29577
AVESIS
05
9200623
SD
Enumeration date
10/25/2005
Last updated
04/08/2014
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