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General NPI Number Information
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NPI Number | 1336181791
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Entity Type | Individual
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Provider Name | HARI K. MANNE MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/27/2024
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Provider Practice Location Address
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Address Line | 710 N WELO ST
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City | TIOGA
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State | ND
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Zip | 58852-7117
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Country | US
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Telephone | 701-664-3368
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Fax | 701-664-3300
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | TIOGA
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State | ND
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Zip | 58852-0159
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Country | US
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Telephone | 701-664-3368
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Fax | 701-664-3300
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P4481
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9412
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License Number State | ND
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