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General NPI Number Information
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NPI Number | 1952340127
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Entity Type | Individual
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Provider Name | MARK RYAN MEREDITH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2475 BROADWAY
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City | HELENA
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State | MT
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Zip | 59601
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Country | US
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Telephone | 406-444-2356
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Fax | 406-447-2407
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Provider Business Mailing Address
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Address Line | 55 RUBY MOUNTAIN RD
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City | CLANCY
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State | MT
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Zip | 59634-9636
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Country | US
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Telephone | 406-457-2447
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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 | 3746
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License Number State | MT
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