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General NPI Number Information
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NPI Number | 1154911790
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Entity Type | Individual
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Provider Name | BRIAN MONTOYA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 50 S FORT LN
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City | LAYTON
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State | UT
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Zip | 84041-4318
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Country | US
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Telephone | 801-544-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 N 3675 W
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City | WEST POINT
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State | UT
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Zip | 84015-7331
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Country | US
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Telephone | 801-544-1570
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Fax |
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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 | 5378096
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License Number State | UT
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