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General NPI Number Information
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NPI Number | 1508036096
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Entity Type | Organization
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Legal Business Name | MARCELO R PEREZ-MONTES MD PA
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 4459 ARENDELL ST STE 1
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2795
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Country | US
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Telephone | 252-727-1709
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Fax | 252-727-1710
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Provider Business Mailing Address
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Address Line | 4459 ARENDELL ST STE 1
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2795
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Country | US
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Telephone | 252-727-1709
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Fax | 252-727-1710
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCELO R PEREZ-MONTES
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Credential | M.D.
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Telephone | 252-727-1709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2005-00424
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License Number State | NC
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