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General NPI Number Information
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NPI Number | 1346322104
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Entity Type | Individual
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Provider Name | ROBERT W MANN MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 701 MATLOCK RD
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City | MANSFIELD
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State | TX
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Zip | 76063-9164
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Country | US
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Telephone | 817-453-5437
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Fax | 817-453-2714
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Provider Business Mailing Address
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Address Line | PO BOX 733784
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City | DALLAS
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State | TX
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Zip | 75373-3784
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Country | US
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Telephone | 682-885-1855
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Fax | 682-885-1396
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D5433
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License Number State | TX
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