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General NPI Number Information
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NPI Number | 1013187731
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Entity Type | Individual
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Provider Name | CHRISTOPHER H MONTANARO
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Gender | Male
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 6208 BAUM DR STE 5
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City | KNOXVILLE
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State | TN
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Zip | 37919-9504
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Country | US
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Telephone | 606-909-2527
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Fax |
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Provider Business Mailing Address
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Address Line | 7529 LANCASHIRE BLVD
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City | POWELL
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State | TN
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Zip | 37849-3761
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Country | US
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Telephone | 606-909-2527
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3965
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License Number State | TN
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