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General NPI Number Information
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NPI Number | 1265029284
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Entity Type | Individual
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Provider Name | MONTGOMERY DAVIS
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Gender | Female
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 700 SCOTT AND WHITE DR
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6441
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Country | US
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Telephone | 979-207-0100
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Fax | 979-207-2161
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax | 254-215-9722
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1031057
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024195693
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R099213
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1031057
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License Number State | AR
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