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General NPI Number Information
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NPI Number | 1104200617
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Entity Type | Individual
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Provider Name | MARIE SIREK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 406-435-7318
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Fax | 406-435-7319
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Provider Business Mailing Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 406-435-7318
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Fax | 406-435-7319
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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 | 22487
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PHA-PHA-LIC-46616
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License Number State | MT
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