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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1275518367 |
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| LBN Legal business name | VALERIE B MANNING DO PLLC | ||||||||
| Authorized official | VALERIE MANNING - (PHYSICIAN) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/12/2005 | ||||||||
| Last updated | 08/31/2012 - About 14 years ago | ||||||||
| Identifiers |
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