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General NPI Number Information
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NPI Number | 1124373592
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Entity Type | Individual
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Provider Name | RYAN A MONREAL DPT
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Gender | Male
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 21 LOWER RAGSDALE DR
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City | MONTEREY
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State | CA
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Zip | 93940-5827
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Country | US
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Telephone | 831-264-6040
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Fax | 831-375-8007
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Provider Business Mailing Address
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Address Line | 7713 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2113
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Country | US
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Telephone | 323-965-7713
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT39198
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License Number State | CA
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