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General NPI Number Information
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NPI Number | 1134191778
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Entity Type | Individual
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Provider Name | DEBRA ANN MANNING M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | NAVAL HEALTH CLINIC QUANTICO 3259 CATLIN AVE.
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City | QUANTICO
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State | VA
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Zip | 22134
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Country | US
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Telephone | 703-784-1528
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Fax |
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Provider Business Mailing Address
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Address Line | 25249 EDENFIELD LN
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City | SOUTH RIDING
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State | VA
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Zip | 20152-6055
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Country | US
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Telephone | 850-449-1816
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101232779
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License Number State | VA
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