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General NPI Number Information
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NPI Number | 1881539799
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Entity Type | Individual
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Provider Name | ANNIE R MONTGOMERY
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 274 N GOODMAN ST
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City | ROCHESTER
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State | NY
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Zip | 14607-1154
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Country | US
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Telephone | 585-325-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 855 N GOODMAN ST
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City | ROCHESTER
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State | NY
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Zip | 14609-4637
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Country | US
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Telephone | 585-410-1525
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | NY
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