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General NPI Number Information
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NPI Number | 1336662568
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Entity Type | Individual
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Provider Name | MONTGOMERY AMBERSON STANLEY DC
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Gender | Male
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 3435 BRANARD ST STE 102
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City | HOUSTON
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State | TX
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Zip | 77027-6057
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Country | US
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Telephone | 281-810-7394
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Fax | 281-810-7394
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Provider Business Mailing Address
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Address Line | 6410 TERRELL DR
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City | PEARLAND
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State | TX
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Zip | 77584-6650
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Country | US
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Telephone | 662-684-9298
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Fax | 662-684-9298
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13515
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License Number State | TX
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