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General NPI Number Information
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NPI Number | 1821259334
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Entity Type | Organization
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Legal Business Name | F. MONTELONGO M.D INC
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 932 E CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92866-2109
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Country | US
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Telephone | 714-997-8050
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Fax | 714-997-5075
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Provider Business Mailing Address
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Address Line | 932 E CHAPMAN AVE
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City | ORANGE
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State | CA
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Zip | 92866-2109
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Country | US
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Telephone | 714-997-8050
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Fax | 714-997-5075
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FERNANDO A MONTELONGO
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Credential | M.D
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Telephone | 714-997-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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