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General NPI Number Information
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NPI Number | 1386704054
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Entity Type | Individual
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Provider Name | IRMA ELENA MONTEMAYOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 106 FOSTER DR
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City | DEL RIO
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State | TX
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Zip | 78840-2757
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Country | US
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Telephone | 830-778-8442
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Fax | 830-778-8321
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Provider Business Mailing Address
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Address Line | PO BOX 420847 106 FOSTER DRIVE
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City | DEL RIO
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State | TX
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Zip | 78842-0847
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Country | US
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Telephone | 830-778-8442
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Fax | 830-778-8321
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | K2539
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License Number State | TX
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