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General NPI Number Information
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NPI Number | 1740707512
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Entity Type | Individual
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Provider Name | MONICA HURST DPT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 25989 BARBER CUT OFF RD NE
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City | KINGSTON
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State | WA
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Zip | 98346-8455
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Country | US
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Telephone | 360-377-3776
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 960
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City | BREMERTON
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State | WA
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Zip | 98337-0212
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Country | US
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Telephone |
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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 | 1291928
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.PA.61452484
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License Number State | WA
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