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General NPI Number Information
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NPI Number | 1275891723
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Entity Type | Organization
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Legal Business Name | DR SHARON RAIS & DR MELINDA MANN LLP
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 575 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11218-5913
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Country | US
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Telephone | 718-437-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 575 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11218-5913
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Country | US
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Telephone | 718-437-3131
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MELINDA SUE MANN
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Credential | M.D.
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Telephone | 718-437-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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