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General NPI Number Information
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NPI Number | 1861469603
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Entity Type | Individual
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Provider Name | JAMES CHESTER MONTGOMERY MD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1139 S MAIN ST
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City | GRAPEVINE
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State | TX
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Zip | 76051-7533
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Country | US
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Telephone | 817-416-7500
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Fax | 817-416-7500
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Provider Business Mailing Address
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Address Line | 2317 CREEKDALE DR
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City | DENTON
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State | TX
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Zip | 76210-3631
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Country | US
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Telephone | 817-416-7500
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Fax | 817-416-7565
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 015419
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J8319
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License Number State | TX
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