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General NPI Number Information
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NPI Number | 1275852584
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Entity Type | Individual
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Provider Name | MICHAEL JAMES ELLETT MONSON D.O., M.A.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | U.S. NAVAL HOSPITAL, OKINAWA
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City | FPO
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State | AP
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Zip | 96362
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Country | JP
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Telephone | 98-971-9355
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 559 BOX 5254
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City | FPO
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State | AP
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Zip | 96377-0053
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Country | US
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Telephone |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2019-00499
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | DO-0122
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | DO-0122
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License Number State | GU
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2019-00499
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License Number State | NC
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