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General NPI Number Information
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NPI Number | 1912108176
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Entity Type | Individual
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Provider Name | MANISHA D. NAIK DO
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 06/22/2014
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Provider Practice Location Address
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Address Line | 1205 LANGHORNE NEWTOWN RD STE 406, ST MARY MEDICAL BUILD
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 267-564-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 LANGHORNE NEWTOWN RD ST MARY MOB, STE 406B
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 267-685-0785
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | OS013402
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License Number State | PA
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