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General NPI Number Information
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NPI Number | 1154667079
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Entity Type | Individual
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Provider Name | SHANNON DIANNE PUCKETT MAY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2012
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 123 S 27TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-4227
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Country | US
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Telephone | 406-247-3350
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Fax | 406-247-3389
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Provider Business Mailing Address
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Address Line | 2713 STINSON PL
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City | BILLINGS
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State | MT
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Zip | 59102-1344
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Country | US
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Telephone | 406-459-6559
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Fax | 406-238-5870
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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 | PH60292584
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 11921
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License Number State | MT
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Taxonomy #3
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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 | 11921
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License Number State | MT
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