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General NPI Number Information
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NPI Number | 1568468957
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Entity Type | Individual
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Provider Name | HAROLD J MANLEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 25 PARKWYN DR
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City | DELMAR
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State | NY
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Zip | 12054-4107
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Country | US
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Telephone | 518-439-5285
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Fax |
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Provider Business Mailing Address
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Address Line | 25 PARKWYN DR
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City | DELMAR
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State | NY
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Zip | 12054-4107
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Country | US
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Telephone | 518-439-5285
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 042270
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 045287
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 297218
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License Number State | DC
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