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General NPI Number Information
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NPI Number | 1811176100
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Entity Type | Individual
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Provider Name | LAURA MADALENA MONTAFI NP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 770 WELCH RD 3RD FLOOR
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City | PALO ALTO
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State | CA
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Zip | 94304-1511
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Country | US
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Telephone | 650-724-4788
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Fax | 650-497-8791
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Provider Business Mailing Address
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Address Line | 770 WELCH RD 3RD FLOOR
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City | PALO ALTO
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State | CA
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Zip | 94304-1511
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Country | US
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Telephone | 650-724-4788
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Fax | 650-497-8791
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 17584
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License Number State | CA
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