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General NPI Number Information
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NPI Number | 1316061336
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Entity Type | Organization
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Legal Business Name | KRISHNA N. MANVI, M.D., INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 2777 PACIFIC AVE SUITE D
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City | LONG BEACH
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State | CA
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Zip | 90806-2625
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Country | US
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Telephone | 562-426-1792
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Fax |
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Provider Business Mailing Address
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Address Line | 2777 PACIFIC AVE SUITE D
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City | LONG BEACH
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State | CA
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Zip | 90806-2625
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Country | US
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Telephone | 562-426-1792
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBORAH K. MELVIN
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Credential |
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Telephone | 562-426-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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