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General NPI Number Information
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NPI Number | 1396786851
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Entity Type | Individual
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Provider Name | GERALD MONTOYA DNP FNP
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 590 PETER JEFFERSON PKWY STE 250
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4655
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Country | US
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Telephone | 804-675-6746
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Fax | 804-675-6945
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Provider Business Mailing Address
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Address Line | 1201 BROAD ROCK BLVD 181H
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City | RICHMOND
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State | VA
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Zip | 23249-9007
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Country | US
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Telephone | 804-675-6746
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Fax | 804-675-6945
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024125612
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License Number State | VA
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