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General NPI Number Information
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NPI Number | 1578789400
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Entity Type | Individual
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Provider Name | BRIAN MONTY OTR CHT
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3530 W MINERAL KING AVE SUITE D
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City | VISALIA
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State | CA
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Zip | 93291
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Country | US
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Telephone | 559-625-2777
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Fax | 559-625-3373
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Provider Business Mailing Address
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Address Line | 2716 S BRIDGE ST
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City | VISALIA
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State | CA
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Zip | 93277
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Country | US
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Telephone | 559-624-3944
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Fax | 559-625-3373
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT1188
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License Number State | CA
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