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General NPI Number Information
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NPI Number | 1821271883
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Entity Type | Individual
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Provider Name | EDWARD W. MANNING JR. RPH.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 1170 NE INDUSTRIAL PARK RD
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City | MERIDIAN
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State | MS
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Zip | 39301-1100
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Country | US
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Telephone | 601-482-7420
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Fax | 601-482-7490
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Provider Business Mailing Address
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Address Line | 1170 NE INDUSTRIAL PARK RD
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City | MERIDIAN
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State | MS
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Zip | 39301-1100
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Country | US
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Telephone | 601-482-7420
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Fax | 601-482-7490
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E5493
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10011
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License Number State | AL
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