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General NPI Number Information
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NPI Number | 1023780293
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Entity Type | Individual
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Provider Name | TONIA ELIZABETH MONTOYA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1112 N MAIN ST
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City | ROSWELL
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State | NM
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Zip | 88201-5010
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Country | US
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Telephone | 575-627-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 302 N KANSAS AVE
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City | ROSWELL
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State | NM
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Zip | 88201-3050
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Country | US
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Telephone | 575-637-2177
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 65234
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License Number State | NM
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