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General NPI Number Information
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NPI Number | 1477065316
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Entity Type | Individual
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Provider Name | PAMELA MANNING DNP, AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1515 N UNIVERSITY DR STE 120
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6084
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Country | US
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Telephone | 954-999-4881
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Fax | 772-303-3476
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Provider Business Mailing Address
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Address Line | 15084 WILDWOOD CIR
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City | WESTLAKE
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State | FL
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Zip | 33470-5435
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Country | US
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Telephone | 772-333-7070
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Fax | 772-303-3476
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NP9292195
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP9292195
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 9292195
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License Number State | FL
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