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General NPI Number Information
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NPI Number | 1477960623
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Entity Type | Individual
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Provider Name | JANETH KAY MONTGOMERY
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Gender | Female
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 3017 N MARTIN LUTHER KING AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-3321
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Country | US
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Telephone | 405-427-3200
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Fax | 405-427-3213
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Provider Business Mailing Address
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Address Line | 1801 MARK TRL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73141-4414
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Country | US
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Telephone | 405-604-1048
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Fax | 405-427-3213
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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