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General NPI Number Information
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NPI Number | 1689719619
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Entity Type | Organization
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Legal Business Name | ROSA MONTEMAYOR DPM PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 9255 W ALAMEDA AVE STE F
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 303-233-9107
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Fax | 303-233-1534
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Provider Business Mailing Address
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Address Line | 9255 W ALAMEDA AVE STE F
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 303-233-9107
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Fax | 303-233-1534
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Authorized Official
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Title or Position | OWNER
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Name | ROSA MONTEMAYOR
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Credential | DPM
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Telephone | 303-233-9107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 396
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License Number State | CO
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