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General NPI Number Information
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NPI Number | 1346725769
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Entity Type | Individual
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Provider Name | RUBEN ALEXANDER MONTANE DC
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 3069 LINCOLN AVE
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City | SAN DIEGO
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State | CA
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Zip | 92104-3030
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Country | US
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Telephone | 619-300-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 4028 FLORIDA ST UNIT 7
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City | SAN DIEGO
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State | CA
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Zip | 92104-2439
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Country | US
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Telephone | 619-548-2356
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12601
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License Number State | FL
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