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General NPI Number Information
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NPI Number | 1760878193
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Entity Type | Organization
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Legal Business Name | ANNETTE E MONTERROSA MD PC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 6200 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3529
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Country | US
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Telephone | 520-270-8639
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40758
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City | TUCSON
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State | AZ
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Zip | 85717-0758
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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 | OWNER
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Name | ANNETTE MONTERROSA
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Credential |
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Telephone | 520-270-8639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 32153
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License Number State | AZ
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