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General NPI Number Information
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NPI Number | 1699097253
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Entity Type | Individual
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Provider Name | PATRICIA MONTAGNINO M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 2526 PLANTATION CENTER DR STE B
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City | MATTHEWS
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State | NC
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Zip | 28105-5298
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Country | US
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Telephone | 704-831-8968
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Fax |
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Provider Business Mailing Address
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Address Line | 6029 GRIBBLE LN
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City | LANCASTER
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State | SC
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Zip | 29720-0126
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Country | US
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Telephone | 704-831-8968
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C005693
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License Number State | NC
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