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General NPI Number Information
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NPI Number | 1720287030
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Entity Type | Individual
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Provider Name | RYAN JOSEPH MONTPETIT PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 600 NORTHERN BLVD
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City | ALBANY
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State | NY
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Zip | 12204-1004
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Country | US
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Telephone | 518-471-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 VERMONT VIEW DR
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City | WATERVLIET
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State | NY
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Zip | 12189-1061
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Country | US
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Telephone | 518-755-4337
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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 | 051722-1
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License Number State | NY
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