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General NPI Number Information
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NPI Number | 1992814743
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Entity Type | Individual
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Provider Name | PASQUALE X. MONTESANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 11000 PROSPERITY FARMS RD SUITE 102
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3462
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Country | US
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Telephone | 561-833-4869
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Fax | 561-833-4872
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Provider Business Mailing Address
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Address Line | 11000 PROSPERITY FARMS RD SUITE 102
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3462
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Country | US
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Telephone | 561-833-4869
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Fax | 561-833-4872
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | G49341
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME85035
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License Number State | FL
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