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General NPI Number Information
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NPI Number | 1811382930
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Entity Type | Individual
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Provider Name | SERGIO ALBERTO MONTANO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 301 SETON PKWY STE 302
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City | ROUND ROCK
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State | TX
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Zip | 78665-8003
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Country | US
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Telephone | 512-324-4812
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Fax | 512-324-4728
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Provider Business Mailing Address
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Address Line | 1004 W 32ND ST STE 300
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City | AUSTIN
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State | TX
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Zip | 78705-1917
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Country | US
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Telephone | 512-324-1000
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Fax | 512-406-6513
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036159225
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036159225
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | S1869
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License Number State | TX
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