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General NPI Number Information
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NPI Number | 1184587024
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Entity Type | Organization
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Legal Business Name | MANNERS CARE SYSTEMS
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 119 E MAIN ST
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City | BIG RUN
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State | PA
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Zip | 15715-1160
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Country | US
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Telephone | 304-360-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E MAIN ST
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City | BIG RUN
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State | PA
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Zip | 15715-1160
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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 | CONSULTANT
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Name | MICHAEL WAGGONER
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Credential |
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Telephone | 304-360-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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