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General NPI Number Information
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NPI Number | 1033374426
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Entity Type | Organization
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Legal Business Name | LAWRENCE A. MANNING, MD
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 8121 GEORGIA AVE SUITE 701-A
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City | SILVER SPRING
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State | MD
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Zip | 20910-4933
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Country | US
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Telephone | 301-587-4180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56280
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City | WASHINGTON
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State | DC
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Zip | 20040-6280
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE A MANNING
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Credential |
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Telephone | 301-587-4180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D36546
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License Number State | MD
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