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General NPI Number Information
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NPI Number | 1952550329
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Entity Type | Individual
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Provider Name | MONICA JOY SUZANNE MANN MD
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 1201 W 38TH ST
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City | AUSTIN
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State | TX
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Zip | 78705-1006
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Country | US
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Telephone | 512-324-1086
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Fax | 512-324-1089
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Provider Business Mailing Address
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Address Line | 1201 W 38TH ST
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City | AUSTIN
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State | TX
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Zip | 78705-1006
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Country | US
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Telephone | 512-324-1086
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Fax | 512-324-1089
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25462
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18163
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 60570003
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25462
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | Q6228
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License Number State | TX
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