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General NPI Number Information
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NPI Number | 1063732865
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Entity Type | Organization
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Legal Business Name | MONTGOMERY JOHNS, MD, FACOG, LTD.
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 623 JEFFERSON DAVIS HWY SUITE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4437
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Country | US
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Telephone | 540-373-3390
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Fax | 540-373-3595
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Provider Business Mailing Address
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Address Line | 623 JEFFERSON DAVIS HWY SUITE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4437
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Country | US
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Telephone | 540-373-3390
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Fax | 540-373-3595
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONTGOMERY NEWMAN JOHNS
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Credential | M.D.
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Telephone | 540-373-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101039308
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License Number State | VA
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