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General NPI Number Information
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NPI Number | 1821677600
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Entity Type | Individual
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Provider Name | DIONNE LASHAWN MONTGOMERY CNM
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 3550 AIRPORT WAY STE 5
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City | FAIRBANKS
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State | AK
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Zip | 99709-4772
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Country | US
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Telephone | 907-415-1002
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Fax | 907-885-2031
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Provider Business Mailing Address
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Address Line | 402 IDITAROD AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-3732
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Country | US
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Telephone | 702-755-5019
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 189197
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 172801
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 11868743-4402
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License Number State | UT
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