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General NPI Number Information
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NPI Number | 1861291031
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Entity Type | Individual
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Provider Name | ERIC MONTAGUE HIS
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 625 BARKSDALE RD STE 107
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City | NEWARK
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State | DE
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Zip | 19711-4535
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Country | US
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Telephone | 302-737-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 SILVERSIDE RD
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City | WILMINGTON
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State | DE
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Zip | 19810-5101
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Country | US
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Telephone | 302-478-4942
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | O3-0010303
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License Number State | DE
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