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General NPI Number Information
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NPI Number | 1366612541
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Entity Type | Organization
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Legal Business Name | MCMANUS & ASSOCIATES INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2501 CHARLES ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3311
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Country | US
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Telephone | 540-370-1940
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Fax | 540-370-4246
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Provider Business Mailing Address
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Address Line | 2501 CHARLES ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3311
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Country | US
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Telephone | 540-370-1940
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Fax | 540-370-4246
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK J MCMANUS
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Credential | MD
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Telephone | 540-370-1940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101-042027
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License Number State | VA
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