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General NPI Number Information
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NPI Number | 1023413945
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Entity Type | Organization
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Legal Business Name | MANCINI CONSULTING L.L.C.
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 2881 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-3475
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Country | US
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Telephone | 131-356-2323
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Fax | 131-356-3333
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Provider Business Mailing Address
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Address Line | 19768 BEVERLY RD
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-3911
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Country | US
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Telephone | 131-341-8600
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Fax | 124-879-2915
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Authorized Official
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Title or Position | WIFE/OFFICE MANAGER
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Name | MRS. ZOE REBECCA MANCINI
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Credential |
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Telephone | 13134186001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L116354
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License Number State | MI
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