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General NPI Number Information
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NPI Number | 1902878721
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Entity Type | Individual
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Provider Name | GUILLERMO L MONTANEZ JR. MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE SUITE 18
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-631-8354
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Fax | 956-631-8441
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Provider Business Mailing Address
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Address Line | PO BOX 2105
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City | MCALLEN
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State | TX
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Zip | 78505-2105
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Country | US
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Telephone | 956-631-8354
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Fax | 956-631-8441
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | H3711
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License Number State | TX
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