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General NPI Number Information
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NPI Number | 1326138587
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Entity Type | Individual
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Provider Name | PARIS TAYLOR MANSMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 10 FOREST FALLS DR SHEARWATER ALLERGY SUITE 9B
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City | YARMOUTH
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State | ME
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Zip | 04096-2298
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Country | US
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Telephone | 207-846-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FOREST FALLS DRIVE, UNIT 10A
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City | NORTH YARMOUTH
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State | ME
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Zip | 04097
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Country | US
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Telephone | 207-829-5337
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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 | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number | 015387
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License Number State | ME
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