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General NPI Number Information
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NPI Number | 1427077379
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Entity Type | Individual
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Provider Name | MARIA ANN MANNING M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 22 S GREENE ST ROOM N2E23
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-5656
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Fax | 410-328-2115
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST ROOM N2E23
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-5656
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Fax | 410-328-2115
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | D61130
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0061130
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD035314
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License Number State | DC
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