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General NPI Number Information
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NPI Number | 1215743802
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Entity Type | Organization
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Legal Business Name | TEODOR A MANAOIS DDS, APC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2645 OCEAN AVE STE 210
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1646
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Country | US
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Telephone | 415-587-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BEACHSIDE CT
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City | DALY CITY
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State | CA
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Zip | 94015-4710
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Country | US
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Telephone | 415-518-4823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TEODOR MANAOIS
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Credential | DDS
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Telephone | 415-587-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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