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General NPI Number Information
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NPI Number | 1518909407
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Entity Type | Individual
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Provider Name | PAULA TERESE BRADLEY-GUAY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 S MAIN ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-2624
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Country | US
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Telephone | 406-222-4720
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Fax |
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Provider Business Mailing Address
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Address Line | 84 LOCH LEVEN RD
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City | LIVINGSTON
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State | MT
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Zip | 59047-9128
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Country | US
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Telephone | 406-222-7736
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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 | 3044
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License Number State | MT
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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 | 2432
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License Number State | HI
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