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General NPI Number Information
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NPI Number | 1700973047
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Entity Type | Individual
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Provider Name | GREGORY FRANCIS MANNING PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 800 N ECKHOFF ST BLDG 124
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City | ORANGE
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State | CA
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Zip | 92868-1008
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Country | US
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Telephone | 714-940-3932
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Fax | 714-704-8806
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Provider Business Mailing Address
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Address Line | 800 N ECKHOFF ST BLDG 124
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City | ORANGE
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State | CA
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Zip | 92868-1008
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Country | US
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Telephone | 714-940-3932
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Fax | 714-704-8806
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 16224
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License Number State | CA
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