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General NPI Number Information
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NPI Number | 1184756033
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Entity Type | Organization
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Legal Business Name | J. W. MANNY, INC.
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 271 MADISON AVE SUITE 1108
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 212-532-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 271 MADISON AVE SUITE 1108
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City | NEW YORK
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State | NY
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Zip | 10016-1001
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Country | US
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Telephone | 212-532-5764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROGER J. MANNY
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Credential | H. A. DISPENSER
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Telephone | 212-532-5764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 15000004707
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License Number State | NY
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