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General NPI Number Information
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NPI Number | 1407080617
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Entity Type | Organization
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Legal Business Name | MONTELLESE FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 550 CAMINO EL ESTERO SUITE 204
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City | MONTEREY
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State | CA
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Zip | 93940-3231
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Country | US
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Telephone | 831-375-5151
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Fax | 831-375-6682
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Provider Business Mailing Address
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Address Line | PO BOX 2695
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City | MONTEREY
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State | CA
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Zip | 93942-2695
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Country | US
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Telephone | 831-375-5151
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Fax | 831-375-6682
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. KRISTINA E MONTELLESE
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Credential | DC
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Telephone | 831-375-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC30041
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License Number State | CA
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