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General NPI Number Information
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NPI Number | 1295441582
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Entity Type | Individual
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Provider Name | ZACHARY LAWRENCE MANNES PHD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 445 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10016-0133
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Country | US
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Telephone | 646-668-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 837 JERSEY AVE APT 11G
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City | JERSEY CITY
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State | NJ
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Zip | 07310-2400
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Country | US
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Telephone | 908-307-6939
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 024533
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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