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General NPI Number Information
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NPI Number | 1417098633
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Entity Type | Organization
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Legal Business Name | ROBERT F. MANN, MD, SC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 815 W 20TH AVE
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City | OSHKOSH
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State | WI
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Zip | 54902-6766
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Country | US
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Telephone | 920-230-3700
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Fax | 920-230-3700
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Provider Business Mailing Address
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Address Line | 815 W 20TH AVE
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City | OSHKOSH
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State | WI
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Zip | 54902-6766
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Country | US
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Telephone | 920-230-3700
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Fax | 920-230-3700
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Authorized Official
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Title or Position | NEUROSURGEON
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Name | DR. ROBERT F MANN
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Credential | M.D.
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Telephone | 920-230-3700
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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 | 30805
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License Number State | WI
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