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General NPI Number Information
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NPI Number | 1538726534
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Entity Type | Individual
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Provider Name | AIMEE MARGARET MONTOYA DPM
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Gender | Female
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 16 E FERN AVE STE A
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City | REDLANDS
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State | CA
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Zip | 92373-4000
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Country | US
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Telephone | 909-792-6066
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Fax | 909-792-4424
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Provider Business Mailing Address
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Address Line | 1021 E PENNSYLVANIA AVE
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City | REDLANDS
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State | CA
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Zip | 92374-2622
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Country | US
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Telephone | 310-903-9115
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | EL6896
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License Number State | CA
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