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General NPI Number Information
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NPI Number | 1790753598
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Entity Type | Individual
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Provider Name | ALANA G MONTGOMERY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 155 STAFFORD LN
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City | DELTA
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State | CO
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Zip | 81416-2229
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Country | US
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Telephone | 970-874-7696
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Fax | 970-874-6325
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Provider Business Mailing Address
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Address Line | PO BOX 10100
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City | DELTA
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State | CO
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Zip | 81416-0008
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Country | US
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Telephone | 970-874-7696
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Fax | 970-874-6325
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 512966
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 990845
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License Number State | CO
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