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General NPI Number Information
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NPI Number | 1679609101
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Entity Type | Individual
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Provider Name | ELSIE MONTPEROUS ITDS
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1001 SW 191ST TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6095
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Country | US
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Telephone | 305-336-1178
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Fax | 954-441-5184
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Provider Business Mailing Address
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Address Line | 1001 SW 191ST TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6095
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Country | US
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Telephone | 305-336-1178
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Fax | 954-441-5184
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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