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General NPI Number Information
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NPI Number | 1639035504
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Entity Type | Individual
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Provider Name | YASSER ABAD MONTOYA SR. RPT
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Gender | Male
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1565 W 41ST ST APT 6
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City | HIALEAH
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State | FL
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Zip | 33012-5818
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Country | US
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Telephone | 407-364-0203
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 W 41ST ST APT 6
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City | HIALEAH
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State | FL
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Zip | 33012-5818
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Country | US
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Telephone | 407-364-0203
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | 20230820128116
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License Number State | FL
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