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General NPI Number Information
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NPI Number | 1487289633
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Entity Type | Individual
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Provider Name | TAMI MCMANUS NP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 100 MELROSE AVE STE 101
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City | GREENWICH
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State | CT
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Zip | 06830-6277
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Country | US
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Telephone | 917-936-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 79 HARBOR DR APT 313
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City | STAMFORD
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State | CT
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Zip | 06902-7480
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Country | US
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Telephone | 917-936-5660
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8772
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8772
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95020699
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License Number State | CA
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