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General NPI Number Information
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NPI Number | 1376074450
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Entity Type | Individual
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Provider Name | MR. NATHANIEL MONTIEL
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 2605 TEAL LN
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City | UNION CITY
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State | CA
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Zip | 94587-3167
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Country | US
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Telephone | 510-938-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 2605 TEAL LN
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City | UNION CITY
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State | CA
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Zip | 94587-3167
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Country | US
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Telephone | 510-938-8850
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P32540
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License Number State | CA
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