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General NPI Number Information
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NPI Number | 1164694055
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Entity Type | Individual
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Provider Name | LOURDES I MONTES M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 1901 SE 18TH AVE STE 200
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City | OCALA
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State | FL
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Zip | 34471-8214
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Country | US
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Telephone | 352-671-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 7819 SE 12TH CIR
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City | OCALA
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State | FL
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Zip | 34480-6648
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Country | US
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Telephone | 352-861-9195
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Fax | 352-861-9859
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | ME78485
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME78485
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License Number State | FL
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