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General NPI Number Information
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NPI Number | 1003800418
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Entity Type | Individual
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Provider Name | DAVID C MONTIEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 2055 NORMANDIE DR SUITE 108
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City | MONTGOMERY
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State | AL
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Zip | 36111-2732
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Country | US
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Telephone | 334-288-4624
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Fax | 334-280-3628
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Provider Business Mailing Address
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Address Line | 2055 NORMANDIE DR SUITE 108
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City | MONTGOMERY
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State | AL
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Zip | 36111-2732
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Country | US
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Telephone | 334-269-6337
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Fax | 334-834-0657
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 00006280
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME89649
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 020134
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 00006280
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME89649
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 020134
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 6280
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License Number State | AL
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