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General NPI Number Information
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NPI Number | 1043244080
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Entity Type | Individual
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Provider Name | LEOPOLDO MONTEJO MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 1393 SANTA RITA RD STE F
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City | PLEASANTON
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State | CA
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Zip | 94566-5667
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Country | US
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Telephone | 925-462-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 210 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3807
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Country | US
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Telephone | 800-883-7243
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Fax | 714-647-1245
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A40079
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License Number State | CA
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