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General NPI Number Information
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NPI Number | 1457158081
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Entity Type | Organization
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Legal Business Name | MAURIANNE MONTES INC.
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1201 SHADOWLAWN DR STE 106
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City | SAINT MARYS
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State | GA
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Zip | 31558-4074
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Country | US
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Telephone | 912-227-0263
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 SHADOWLAWN DR STE 106
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City | SAINT MARYS
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State | GA
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Zip | 31558-4074
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Country | US
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Telephone | 912-227-0263
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MAURIANNE MONTES
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Credential | L.AC., M.AC.O.M
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Telephone | 912-227-0263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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