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General NPI Number Information
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NPI Number | 1003084195
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Entity Type | Individual
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Provider Name | CHRISTOPHER MANETTA D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 217 BLACK HORSE PIKE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1009
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Country | US
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Telephone | 888-982-8594
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Fax | 888-920-1525
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | BARRINGTON
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State | NJ
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Zip | 08007-0159
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Country | US
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Telephone | 888-982-8594
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Fax | 888-982-8594
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 304398-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS019785
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB10752900
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License Number State | NJ
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