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General NPI Number Information
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NPI Number | 1467913301
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Entity Type | Individual
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Provider Name | LUISA FERNANDA RODRIGUEZ MONTOYA DO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 89 S HIGHLAND AVE APT A37
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City | OSSINING
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State | NY
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Zip | 10562-5633
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Country | US
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Telephone | 973-767-8963
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 319945
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License Number State | NY
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