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General NPI Number Information
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NPI Number | 1609752336
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Entity Type | Individual
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Provider Name | MONCEF BOUZAR PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 9821 BLUE LARKSPUR LN FL 1
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City | MONTEREY
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State | CA
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Zip | 93940-6533
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Country | US
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Telephone | 831-422-4782
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Fax | 831-422-4784
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Provider Business Mailing Address
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Address Line | 143 JOHN ST
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City | SALINAS
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State | CA
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Zip | 93901-3337
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Country | US
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Telephone | 831-422-4782
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Fax | 831-422-4784
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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 |
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License Number State |
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