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General NPI Number Information
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NPI Number | 1538302971
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Entity Type | Individual
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Provider Name | JULANA MONTI MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 672 BERT KOUNS LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71118-5701
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Country | US
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Telephone | 318-347-7290
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Fax | 318-949-6861
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | HAUGHTON
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State | LA
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Zip | 71037-0119
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Country | US
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Telephone |
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Fax | 318-939-6861
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD.204019
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License Number State | LA
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