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General NPI Number Information
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NPI Number | 1093845588
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Entity Type | Organization
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Legal Business Name | MANFRED & ASSOCIATES, PA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 3901 E STAN SCHLUETER LOOP STE 202
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City | KILLEEN
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State | TX
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Zip | 76542-4554
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Country | US
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Telephone | 254-634-4244
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Fax | 254-634-8809
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Provider Business Mailing Address
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Address Line | 3106 S W S YOUNG DR STE A103
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City | KILLEEN
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State | TX
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Zip | 76542-2007
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Country | US
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Telephone | 254-634-4244
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Fax | 254-634-8809
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD FREEMAN
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Credential | M.D.
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Telephone | 254-634-4244
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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 | J4127
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License Number State | TX
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