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General NPI Number Information
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NPI Number | 1174097364
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Entity Type | Individual
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Provider Name | BRIAN AMENT R.PH., PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 2422 20TH ST SW
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City | JAMESTOWN
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State | ND
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Zip | 58401-6201
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Country | US
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Telephone | 701-952-4797
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Fax |
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Provider Business Mailing Address
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Address Line | 301 20TH AVE NE
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City | JAMESTOWN
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State | ND
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Zip | 58401-3941
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Country | US
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Telephone | 701-952-4824
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH4559
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License Number State | ND
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