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General NPI Number Information
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NPI Number | 1356354005
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Entity Type | Individual
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Provider Name | MONTY JAMES VANBEBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 233 STEVENS ST
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City | HYANNIS
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State | MA
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Zip | 02601-3766
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Country | US
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Telephone | 508-771-3190
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Fax |
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Provider Business Mailing Address
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Address Line | 86 HOLLY HILL RD
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City | CENTERVILLE
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State | MA
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Zip | 02632-3337
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Country | US
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Telephone | 508-827-7065
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD430421
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 045062
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 235643
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License Number State | MA
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