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General NPI Number Information
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NPI Number | 1376659474
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Entity Type | Organization
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Legal Business Name | JOSEPH MICHEL MONTES PHD A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 595 E COLORADO BL #615
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 626-449-6725
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Fax | 626-449-4820
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Provider Business Mailing Address
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Address Line | 595 E COLORADO BL #615
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 626-449-6725
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Fax | 626-449-4820
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JOSEPH MICHAEL MONTES
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Credential | PHD
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Telephone | 626-449-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY7770
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License Number State | CA
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