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General NPI Number Information
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NPI Number | 1548637341
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Entity Type | Individual
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Provider Name | GINA MONTANYE B.S.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 3351 E 120TH AVE UNIT 14-204
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City | THORNTON
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State | CO
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Zip | 80233-1586
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Country | US
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Telephone | 303-817-9507
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Fax |
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Provider Business Mailing Address
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Address Line | 3351 E 120TH AVE UNIT 14-204
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City | THORNTON
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State | CO
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Zip | 80233-1586
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Country | US
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Telephone | 303-817-9507
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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