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A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Dental |
261QD0000X |
| NPI # | 1225784762 |
| LBN Legal business name | MANIILAQ ASSOCIATION |
| Authorized official | GUS NELSON - (PROVIDER ENROLLMENT SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/23/2022 |
| Last updated | 03/15/2022 - About 4 years ago |
| Identifiers | n/a |
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MANIILAQ ASSOCIATION
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MANIILAQ ASSOCIATION