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General NPI Number Information
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NPI Number | 1689892168
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Entity Type | Organization
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Legal Business Name | KELLY H MONTEL, PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 660 GLADES RD #340
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City | BOCA RATON
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State | FL
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Zip | 33431-6465
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Country | US
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Telephone | 561-213-1373
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Fax |
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Provider Business Mailing Address
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Address Line | 2863 BANYAN BOULEVARD CIR NW
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City | BOCA RATON
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State | FL
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Zip | 33431-6326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELLY HUOTT MONTEL
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Credential | PH.D., PA
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Telephone | 561-213-1373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5800
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License Number State | FL
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