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General NPI Number Information
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NPI Number | 1629540208
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Entity Type | Organization
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Legal Business Name | MONTGOMERY GROUP, LLC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 4108 PARK RD STE 411
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City | CHARLOTTE
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State | NC
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Zip | 28209-2262
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Country | US
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Telephone | 980-949-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 4108 PARK RD STE 411
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City | CHARLOTTE
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State | NC
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Zip | 28209-2262
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Country | US
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Telephone | 980-949-8990
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JOHN A BURNS
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Credential | LCSW
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Telephone | 704-622-3450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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