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NPI 1528374212

NPI 1528374212 : ANA MONTEIRO : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1528374212
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    Entity Type          |    Individual 
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    Provider Name        |    ANA MONTEIRO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2010
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    Last Update Date     |    08/19/2010
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Provider Practice Location Address
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    Address Line         |    1318 SW 20TH ST 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-5856
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    Country              |    US
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    Telephone            |    508-415-9160
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 575 
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    City                 |    SOMERSET
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    State                |    MA
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    Zip                  |    02726-0575
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    Country              |    US
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    Telephone            |    508-415-9160
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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