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General NPI Number Information
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NPI Number | 1689760365
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Entity Type | Individual
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Provider Name | MOYNE KORNMAN MONTS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1106 N. 6TH STREET
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City | LONGVIEW
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State | TX
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Zip | 75601
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Country | US
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Telephone | 903-757-3223
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Fax | 844-315-0256
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Provider Business Mailing Address
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Address Line | 1106 N. 6TH STREET
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City | LONGVIEW
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State | TX
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Zip | 75601
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Country | US
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Telephone | 903-757-3223
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Fax | 844-315-0256
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | J9898
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | J9898
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License Number State | TX
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