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General NPI Number Information
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NPI Number | 1194635672
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Entity Type | Individual
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Provider Name | MONTANA ALEXIS FOLMER DUNN
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 500 SUPERIOR AVE STE 315
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3660
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Country | US
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Telephone | 949-764-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 NEWPORT AVE APT 204
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City | LONG BEACH
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State | CA
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Zip | 90804-2860
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Country | US
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Telephone | 925-818-2339
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 304440
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License Number State | CA
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