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General NPI Number Information
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NPI Number | 1386001220
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Entity Type | Individual
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Provider Name | JORI MANLEY DC, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 193 JEFFERSON DR
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City | MENLO PARK
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State | CA
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Zip | 94025-1114
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Country | US
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Telephone | 510-521-5440
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Fax | 650-521-5444
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Provider Business Mailing Address
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Address Line | 193 JEFFERSON DR
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City | MENLO PARK
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State | CA
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Zip | 94025-1114
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Country | US
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Telephone | 510-521-5440
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Fax | 650-521-5444
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 200024314
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC36024
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License Number State | CA
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