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General NPI Number Information
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NPI Number | 1902207467
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Entity Type | Individual
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Provider Name | PATRICIA MITCHELL PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 125 E GLENDALE ST
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City | DILLON
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State | MT
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Zip | 59725-2505
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Country | US
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Telephone | 406-683-2316
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1365
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City | DILLON
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State | MT
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Zip | 59725-1365
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Country | US
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Telephone | 406-660-4989
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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 | 3006
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License Number State | MT
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