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General NPI Number Information
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NPI Number | 1790771699
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Entity Type | Organization
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Legal Business Name | SIDNEY HEALTH CENTER
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 216 14TH AVE SW
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City | SIDNEY
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State | MT
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Zip | 59270-3519
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Country | US
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Telephone | 406-488-2163
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Fax | 406-488-2238
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Provider Business Mailing Address
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Address Line | 216 14TH AVE SW
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City | SIDNEY
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State | MT
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Zip | 59270-3519
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Country | US
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Telephone | 406-488-2163
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Fax | 406-488-2238
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | LYNNE BEYERLE
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Credential | PHARMD RPH
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Telephone | 406-488-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PHA-PHI-LIC-1013
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License Number State | MT
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