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General NPI Number Information
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NPI Number | 1760944359
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Entity Type | Individual
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Provider Name | NATASHA MONTGOMERY RN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 401 W POPLAR ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-2846
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Country | US
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Telephone | 509-897-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 627 N ROOSEVELT ST APT 8
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City | WALLA WALLA
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State | WA
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Zip | 99362-1455
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Country | US
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Telephone | 425-923-9929
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60861061
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License Number State | WA
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