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General NPI Number Information
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NPI Number | 1902062086
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Entity Type | Individual
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Provider Name | DOROTHY NANETTE MANNING NP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1200 HIGHWAY 251
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City | DARIEN
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State | GA
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Zip | 31305
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Country | US
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Telephone | 912-437-6036
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Fax | 912-437-3324
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Provider Business Mailing Address
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Address Line | 185 SOUTH RD
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City | BRUNSWICK
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State | GA
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Zip | 31523-6273
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Country | US
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Telephone | 912-262-9801
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Fax |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN051153
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License Number State | GA
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