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General NPI Number Information
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NPI Number | 1306811203
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Entity Type | Organization
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Legal Business Name | MONTGOMERY FOOT AND ANKLE CENTRE PC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 406 S MAPLE AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-3221
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Country | US
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Telephone | 724-837-5370
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Fax | 724-837-7516
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Provider Business Mailing Address
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Address Line | 406 S MAPLE AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-3221
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Country | US
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Telephone | 724-837-5370
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Fax | 724-837-7516
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES P MONTGOMERY
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Credential | DPM
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Telephone | 724-837-5370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC002626L
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License Number State | PA
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