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General NPI Number Information
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NPI Number | 1588833180
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Entity Type | Individual
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Provider Name | MICHAEL RICHARD MONTRIEF PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 24511 W JAYNE AVE
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City | COALINGA
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State | CA
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Zip | 93210-9503
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Country | US
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Telephone | 917-969-7547
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Fax |
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Provider Business Mailing Address
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Address Line | 825 N. LAPERLA
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-471-1158
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 14799
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 14799
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License Number State | CA
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