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General NPI Number Information
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NPI Number | 1144621046
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Entity Type | Individual
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Provider Name | JESSICA MONTEL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 152 JAMES ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4101
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Country | US
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Telephone | 732-719-4920
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Fax | 732-719-4960
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Provider Business Mailing Address
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Address Line | 108 E ROUTE 130 S
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City | BURLINGTON
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State | NJ
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Zip | 08016-2774
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Country | US
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Telephone | 609-387-4998
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03656300
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License Number State | NJ
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