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General NPI Number Information
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NPI Number | 1821484460
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Entity Type | Individual
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Provider Name | DONALD MONTEAU P.A.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 1 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-303-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 17747 119TH RD
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City | JAMAICA
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State | NY
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Zip | 11434-1921
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Country | US
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Telephone | 646-683-9965
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 018353
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00395100
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License Number State | NJ
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