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General NPI Number Information
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NPI Number | 1174698088
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Entity Type | Individual
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Provider Name | NOELLE ELIZABETH MONTANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 5125 SKYLINE RD S
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City | SALEM
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State | OR
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Zip | 97306-9427
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Country | US
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Telephone | 844-389-5711
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Fax | 877-880-2039
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Provider Business Mailing Address
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Address Line | 2825 OAK LAWN AVE UNIT 192749
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City | DALLAS
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State | TX
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Zip | 75219-4688
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Country | US
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Telephone | 844-389-5711
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Fax | 877-880-2039
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD00049297
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License Number State | WA
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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 | MD00049297
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License Number State | WA
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