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General NPI Number Information
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NPI Number | 1043217292
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Entity Type | Individual
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Provider Name | ROSETTE ROSARIO MANIO MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1900 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-5502
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Country | US
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Telephone | 562-437-0373
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Fax | 877-469-3649
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Provider Business Mailing Address
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Address Line | 200 OCEANGATE SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90802-4317
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Country | US
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Telephone | 562-499-6191
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Fax | 877-469-3631
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G79542
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License Number State | CA
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