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General NPI Number Information
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NPI Number | 1316865397
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Entity Type | Individual
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Provider Name | JAMES ROBERT MONTGOMERY AEMT
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Gender | Male
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 418 MINERAL RD
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City | HAWTHORNE
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State | NV
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Zip | 89415-7875
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Country | US
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Telephone | 775-945-2497
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SIMPSON TRL
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City | WELLINGTON
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State | NV
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Zip | 89444-9236
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Country | US
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Telephone | 949-705-8968
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 75140
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License Number State | NV
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