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General NPI Number Information
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NPI Number | 1356781322
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Entity Type | Organization
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Legal Business Name | STEPHEN M. MANIER, MD, PC
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 3401 LUDINGTON ST RADIOLOGY DEPARTMENT
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City | ESCANABA
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State | MI
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Zip | 49829-1300
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Country | US
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Telephone | 906-786-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 705 S 10TH ST
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City | ESCANABA
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State | MI
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Zip | 49829-3626
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Country | US
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Telephone | 906-786-3311
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. STEPHEN M MANIER
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Credential | MD
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Telephone | 906-786-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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