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General NPI Number Information
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NPI Number | 1174921365
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Entity Type | Individual
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Provider Name | LINDSAY NICOLE MANZLAK MSN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2014
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 700 TECH CENTER PKWY STE 200-106
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-960-7454
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Fax | 757-866-5577
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Provider Business Mailing Address
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Address Line | 700 TECH CENTER PKWY STE 200-106
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3075
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Country | US
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Telephone | 757-960-7454
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Fax | 757-866-5577
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024171886
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License Number State | VA
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