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General NPI Number Information
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NPI Number | 1851679971
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Entity Type | Individual
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Provider Name | JACQUELINE MONTES PT, EDD, NCS
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Gender | Female
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 180 FORT WASHINGTON AVE ROOM 517
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City | NEW YORK
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State | NY
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Zip | 10032-3722
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Country | US
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Telephone | 212-342-5767
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Fax | 212-305-9263
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Provider Business Mailing Address
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Address Line | 180 FORT WASHINGTON AVE ROOM 517
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City | NEW YORK
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State | NY
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Zip | 10032-3722
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Country | US
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Telephone | 212-342-5767
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Fax | 212-305-9263
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 014490-1
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License Number State | NY
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