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General NPI Number Information
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NPI Number | 1043357395
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Entity Type | Individual
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Provider Name | FELICIA ANN MONTANEZ NP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2318 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-5432
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Country | US
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Telephone | 941-714-7150
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Fax | 941-405-1145
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Provider Business Mailing Address
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Address Line | 101 RIVERFRONT BLVD STE 710
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City | BRADENTON
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State | FL
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Zip | 34205-8812
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Country | US
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Telephone | 941-776-4000
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Fax | 407-566-2499
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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 | F333746-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9432331
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License Number State | FL
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