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General NPI Number Information
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NPI Number | 1508659137
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Entity Type | Individual
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Provider Name | GEORGE JOHN MONTANIO DO
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Gender | Male
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 15790 PAUL VEGA DR
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City | HAMMOND
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State | LA
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Zip | 70403-1436
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Country | US
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Telephone | 985-345-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 214 PLANTATION RIDGE LN
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City | BATON ROUGE
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State | LA
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Zip | 70810-5046
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 346775
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License Number State | LA
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