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General NPI Number Information
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NPI Number | 1285938654
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Entity Type | Individual
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Provider Name | MONTE R. BLACKWELL RESPIRATORY THERAPIS
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Gender | Male
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 5007 DORA LN
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City | MCALLEN
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State | TX
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Zip | 78504-9759
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Country | US
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Telephone | 956-451-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 5007 DORA LN
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City | MCALLEN
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State | TX
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Zip | 78504-9759
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Country | US
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Telephone | 956-451-6655
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 67909
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License Number State | TX
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