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General NPI Number Information
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NPI Number | 1932582558
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Entity Type | Individual
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Provider Name | DENNIS MONTEJO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 13330 BLOOMFIELD AVE # 209
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City | NORWALK
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State | CA
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Zip | 90650-3251
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Country | US
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Telephone | 562-316-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 2370 W HANSEN ST
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City | ANAHEIM
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State | CA
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Zip | 92801-3364
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Country | US
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Telephone | 714-408-8689
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95036152
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 559717
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License Number State | CA
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