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General NPI Number Information
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NPI Number | 1225301542
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Entity Type | Organization
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Legal Business Name | CURTIS E MONTGOMERY MD PA
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER PKWY STE 500
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4945
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Country | US
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Telephone | 936-291-0614
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Fax | 936-291-0354
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Provider Business Mailing Address
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Address Line | 100 MEDICAL CENTER PKWY STE 500
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4945
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Country | US
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Telephone | 936-291-0614
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Fax | 936-291-0354
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CURTIS EDWARD MONTGOMERY
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Credential | M.D.
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Telephone | 936-291-0614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | J7591
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License Number State | TX
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