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General NPI Number Information
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NPI Number | 1659540961
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Entity Type | Organization
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Legal Business Name | COLETTE MANNING OD PC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 6808 POTOMAC PKWY
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City | ARLINGTON
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State | TX
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Zip | 76017-4940
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Country | US
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Telephone | 817-294-7456
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Fax | 817-294-5443
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Provider Business Mailing Address
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Address Line | 6808 POTOMAC PKWY
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City | ARLINGTON
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State | TX
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Zip | 76017-4940
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Country | US
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Telephone | 817-294-7456
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Fax | 817-294-5443
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. COLETTE MANNING
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Credential | O.D.
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Telephone | 817-294-7456
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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 | 4511T
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License Number State | TX
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