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General NPI Number Information
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NPI Number | 1811838774
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Entity Type | Organization
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Legal Business Name | MANAHAN COMPREHENSIVE WELLNESS LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 7567 CENTRAL PARKE BLVD STE C
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City | MASON
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State | OH
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Zip | 45040-6855
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Country | US
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Telephone | 216-373-1858
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Fax | 419-359-8971
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Provider Business Mailing Address
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Address Line | 7567 CENTRAL PARKE BLVD STE C
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City | MASON
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State | OH
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Zip | 45040-6855
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Country | US
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Telephone | 216-373-1858
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Fax | 419-359-8971
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Authorized Official
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Title or Position | DO
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Name | JILL MANAHAN
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Credential |
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Telephone | 216-373-1858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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