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General NPI Number Information
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NPI Number | 1457352825
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Entity Type | Individual
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Provider Name | ROSA A MONTEMAYOR D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 9255 W ALAMEDA AVE SUITE F
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 303-233-9107
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Fax | 303-233-1534
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Provider Business Mailing Address
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Address Line | 9255 W ALAMEDA AVE SUITE F
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 303-233-9107
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Fax | 303-233-1534
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 396
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License Number State | CO
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