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General NPI Number Information
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NPI Number | 1548420656
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Entity Type | Organization
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Legal Business Name | MERCEDES Z. MANNING OD P A
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 7299 DADELAND MALL
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City | MIAMI
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State | FL
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Zip | 33156-7853
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Country | US
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Telephone | 305-669-1501
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Fax | 305-669-1262
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Provider Business Mailing Address
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Address Line | 8920 SW 159TH TER
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-1900
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Country | US
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Telephone | 305-669-1501
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Fax | 305-669-1262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MERCEDES ZELINDA MANNING
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Credential | O.D.
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Telephone | 305-798-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3658
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License Number State | FL
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