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General NPI Number Information
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NPI Number | 1750002424
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Entity Type | Individual
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Provider Name | SHERRY ANN MONTOYA RPH
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 1301 SILER RD BLDG A
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City | SANTA FE
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State | NM
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Zip | 87507-3540
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Country | US
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Telephone | 505-412-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 VIAJE PAVO REAL
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City | SANTA FE
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State | NM
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Zip | 87505-5388
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Country | US
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Telephone | 505-670-5570
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH00001608
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License Number State | NM
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