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General NPI Number Information
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NPI Number | 1073476560
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Entity Type | Individual
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Provider Name | DEBBIE MONTALBANO
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1118 RAWSON AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2042
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Country | US
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Telephone | 414-768-4444
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Fax | 414-768-4782
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Provider Business Mailing Address
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Address Line | 1118 RAWSON AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2042
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Country | US
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Telephone | 414-768-4444
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Fax | 414-768-4782
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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 | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | 244852-30
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License Number State | WI
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