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General NPI Number Information
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NPI Number | 1376294165
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Entity Type | Individual
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Provider Name | ROBERT E MONTOYA LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2504 CAMINO ENTRADA
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City | SANTA FE
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State | NM
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Zip | 87507-4851
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Country | US
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Telephone | 505-216-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 420 N 11TH ST
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City | BELEN
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State | NM
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Zip | 87002-3004
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Country | US
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Telephone | 505-291-5300
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2024-1191
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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