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NPI 1093922452

NPI 1093922452 : KATHERINE SUE CHOATE RPH : GLENDIVE, MT

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General NPI Number Information
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    NPI Number           |    1093922452
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE SUE CHOATE RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    06/07/2016
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Provider Practice Location Address
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    Address Line         |    1515 W BELL ST 
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    City                 |    GLENDIVE
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    State                |    MT
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    Zip                  |    59330-3240
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    Country              |    US
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    Telephone            |    406-365-9642
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    Fax                  |    406-365-9866
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Provider Business Mailing Address
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    Address Line         |    1515 W BELL ST 
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    City                 |    GLENDIVE
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    State                |    MT
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    Zip                  |    59330-3240
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    Country              |    US
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    Telephone            |    406-365-9642
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    Fax                  |    406-365-9866
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    8908
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    3423
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    License Number State |    MT
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    5162
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    License Number State |    ND
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