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General NPI Number Information
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NPI Number | 1962729442
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Entity Type | Individual
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Provider Name | JENNIFER MONTI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 96 CAMPUS DR SUITE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7163
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Country | US
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Telephone | 207-885-9905
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Fax | 207-396-5600
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Provider Business Mailing Address
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Address Line | 300 SOUTHBOROUGH DR SUITE 201
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-6914
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Country | US
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Telephone | 207-661-2000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD20969
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 82780
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD20969
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License Number State | ME
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