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General NPI Number Information
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NPI Number | 1477055457
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Entity Type | Organization
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Legal Business Name | STEPHANIE C. MANNING, DDS, PA
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 7322 MATTHEWS MINT HILL RD
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City | MINT HILL
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State | NC
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Zip | 28227-7594
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Country | US
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Telephone | 704-699-3293
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 690477
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City | CHARLOTTE
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State | NC
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Zip | 28227-7008
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Country | US
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Telephone | 704-699-3293
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. STEPHANIE RANKIN
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Credential |
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Telephone | 704-699-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | NC8390
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License Number State | NC
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