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General NPI Number Information
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NPI Number | 1326838053
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Entity Type | Individual
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Provider Name | PATRICK MICHAEL MCMANUS PT43084
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1101 66TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-6200
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Country | US
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Telephone | 813-280-3507
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 TARPON WOODS BLVD APT E6
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City | PALM HARBOR
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State | FL
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Zip | 34685-2023
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Country | US
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Telephone | 937-304-4666
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT43084
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License Number State | FL
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