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General NPI Number Information
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NPI Number | 1336487651
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Entity Type | Individual
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Provider Name | MICHELLE MAMANN
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Gender | Female
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 10217 64TH RD APT 5B
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City | FOREST HILLS
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State | NY
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Zip | 11375-1560
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Country | US
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Telephone | 646-226-1808
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Fax |
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Provider Business Mailing Address
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Address Line | 10217 64TH RD APT 5B
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City | FOREST HILLS
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State | NY
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Zip | 11375-1560
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Country | US
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Telephone | 646-226-1808
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 702839131
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License Number State | NY
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