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NPI 1780549584

NPI 1780549584 : GILBERT L MONTES III : CITRUS HEIGHTS, CA

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General NPI Number Information
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    NPI Number           |    1780549584
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    Entity Type          |    Individual 
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    Provider Name        |    GILBERT L MONTES III
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/24/2025
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Provider Practice Location Address
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    Address Line         |    8421 AUBURN BLVD # 162 
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    City                 |    CITRUS HEIGHTS
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    State                |    CA
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    Zip                  |    95610-0359
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    Country              |    US
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    Telephone            |    916-441-3819
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    Fax                  |    916-441-6377
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Provider Business Mailing Address
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    Address Line         |    3780 ROSIN CT STE 110 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95834-1698
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    Country              |    US
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    Telephone            |    916-441-0226
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    Fax                  |    916-441-0286
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    CA
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