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General NPI Number Information
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NPI Number | 1861486979
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Entity Type | Organization
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Legal Business Name | MANNINGS 8TH AVE INC
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 6402 8TH AVE G103
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City | BROOKLYN
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State | NY
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Zip | 11220-4720
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Country | US
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Telephone | 718-238-3850
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Fax | 718-238-3856
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Provider Business Mailing Address
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Address Line | 6402 8TH AVE G103
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City | BROOKLYN
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State | NY
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Zip | 11220-4720
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Country | US
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Telephone | 718-238-3850
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Fax | 718-238-3856
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ERNIE NG
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Credential |
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Telephone | 718-238-3850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 027289
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License Number State | NY
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