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General NPI Number Information
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NPI Number | 1326219783
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Entity Type | Individual
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Provider Name | ALICIA MONTANEZ MD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE STE 408
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City | ANAHEIM
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State | CA
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Zip | 92801-2806
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Country | US
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Telephone | 714-353-3250
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Fax | 714-386-5350
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Provider Business Mailing Address
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Address Line | PO BOX 66596
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City | SEATTLE
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State | WA
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Zip | 98166-0596
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Country | US
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Telephone | 714-353-3250
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Fax | 714-533-3713
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A97240
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97240
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License Number State | CA
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