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General NPI Number Information
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NPI Number | 1033303193
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Entity Type | Individual
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Provider Name | DAVID YITZCHOK MANELA MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 902
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City | AVENTURA
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State | FL
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Zip | 33180-1270
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Country | US
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Telephone | 213-509-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 NE 214TH ST STE 902
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City | AVENTURA
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State | FL
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Zip | 33180-1270
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Country | US
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Telephone | 213-509-5115
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A99320
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License Number State | CA
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