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General NPI Number Information
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NPI Number | 1811186695
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Entity Type | Organization
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Legal Business Name | WILLIAM M MANIA MD PA
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 375 MUNICIPAL DR STE 110
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City | RICHARDSON
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State | TX
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Zip | 75080-3543
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Country | US
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Telephone | 972-669-9777
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Fax | 972-783-6664
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Provider Business Mailing Address
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Address Line | 375 MUNICIPAL DR STE 110
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City | RICHARDSON
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State | TX
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Zip | 75080-3543
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Country | US
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Telephone | 972-669-9777
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Fax | 972-783-6664
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM MICHAEL MANIA
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Credential | MD PA
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Telephone | 972-669-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | F9770
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License Number State | TX
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