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General NPI Number Information
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NPI Number | 1962729640
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Entity Type | Organization
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Legal Business Name | ALAN W. MANNING M.D., A PROFESSIONAL CORP
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 15715 PROFESSIONAL PLAZA
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City | HAMMOND
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State | LA
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Zip | 70403-0000
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Country | US
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Telephone | 985-542-6444
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Fax | 985-542-6445
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Provider Business Mailing Address
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Address Line | PO BOX 1515
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City | HAMMOND
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State | LA
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Zip | 70404-1515
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Country | US
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Telephone | 985-542-6444
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Fax | 985-542-6445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN W. MANNING
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Credential | M.D.
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Telephone | 985-542-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | LA
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