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General NPI Number Information
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NPI Number | 1457240681
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH HENRIQUES DPT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 319 ANACAPA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2351
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Country | US
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Telephone | 805-898-1907
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276004
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City | SACRAMENTO
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State | CA
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Zip | 95827-6004
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Country | US
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Telephone | 800-478-8837
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Fax | 916-739-3623
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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 | 308513
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License Number State | CA
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