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General NPI Number Information
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NPI Number | 1467781328
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Entity Type | Organization
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Legal Business Name | ROBERTO MONTOYA M.D., P.A.
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 1810 NANTUCKET DR
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City | HOUSTON
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State | TX
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Zip | 77057-2912
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Country | US
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Telephone | 713-907-4456
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Fax | 281-833-3323
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | BELLAIRE
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State | TX
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Zip | 77402-0128
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Country | US
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Telephone | 713-907-4456
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Fax | 281-833-3323
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ROBERTO MONTOYA
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Credential | MD
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Telephone | 713-907-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | E4905
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License Number State | TX
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