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General NPI Number Information
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NPI Number | 1962375337
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Entity Type | Individual
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Provider Name | CRISTINA ELENA MANEA
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 900 NE 139TH ST STE 106
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City | VANCOUVER
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State | WA
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Zip | 98685-2519
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Country | US
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Telephone | 360-604-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 5113 NW 137TH CIR
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City | VANCOUVER
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State | WA
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Zip | 98685-1620
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DENT.DE.70032617
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License Number State | WA
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