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General NPI Number Information
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NPI Number | 1659702983
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Entity Type | Individual
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Provider Name | PAUL MONTALBANO PHD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 6000 MACARTHUR BLVD
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City | BETHESDA
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State | MD
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Zip | 20816-3208
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Country | US
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Telephone | 301-319-5653
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 MACARTHUR BLVD
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City | BETHESDA
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State | MD
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Zip | 20816-3208
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Country | US
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Telephone | 301-319-5653
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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 | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 2848
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License Number State | MD
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