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General NPI Number Information
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NPI Number | 1154128833
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Entity Type | Individual
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Provider Name | LORENZO MONTA DC
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Gender | Male
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1485 SPRUCE ST STE I
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City | RIVERSIDE
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State | CA
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Zip | 92507-7421
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Country | US
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Telephone | 951-462-1285
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Fax |
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Provider Business Mailing Address
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Address Line | 4895 MONTREAL DR
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City | FONTANA
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State | CA
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Zip | 92336-0645
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Country | US
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Telephone | 909-714-6986
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 37185
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License Number State | CA
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