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General NPI Number Information
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NPI Number | 1922302900
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Entity Type | Organization
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Legal Business Name | CHARLES W. MONDAY, JR., M.D., P.A.
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 130 MEDICAL CENTER PKWY STE 6
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4943
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Country | US
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Telephone | 936-295-9101
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Fax | 936-295-5977
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Provider Business Mailing Address
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Address Line | PO BOX 1920
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City | HUNTSVILLE
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State | TX
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Zip | 77342-1920
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Country | US
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Telephone | 936-295-9101
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Fax | 936-295-5977
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. CHARLES WOODROW MONDAY JR.
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Credential | M.D.
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Telephone | 936-295-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D3345
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License Number State | TX
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