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General NPI Number Information
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NPI Number | 1285799197
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Entity Type | Individual
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Provider Name | DANIEL V. MANZANARES MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 5422 W THUNDERBIRD RD SUITE 2
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City | GLENDALE
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State | AZ
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Zip | 85306-4700
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Country | US
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Telephone | 602-866-5070
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Fax | 602-866-5093
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Provider Business Mailing Address
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Address Line | 1343 N ALMA SCHOOL RD STE 160
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City | CHANDLER
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State | AZ
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Zip | 85224-5901
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Country | US
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Telephone | 602-866-5070
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Fax | 602-866-5093
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24243
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License Number State | AZ
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