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General NPI Number Information
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NPI Number | 1669406310
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Entity Type | Individual
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Provider Name | PAUL J MANFRE D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 3032 E. HEBRON PKWY., STE. 103
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City | CARROLLTON
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State | TX
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Zip | 75010
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Country | US
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Telephone | 972-416-2000
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Fax | 972-394-9959
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Provider Business Mailing Address
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Address Line | PO BOX 116895
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City | CARROLLTON
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State | TX
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Zip | 75011-6895
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Country | US
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Telephone | 972-416-2000
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Fax | 972-394-9959
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7164
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License Number State | TX
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