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NPI Code Detail

MEDICARE: MISS ALLISON H MANNING RD

MEDICARE: MISS ALLISON H MANNING RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianAZ

General Provider Information

NPI Number : 1295681039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON H MANNING RD
Provider Business Mailing Address
First Line : 8714 E ROSE LN
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85250-5823
Country : US
Telephone Number : 602-318-4582
Fax Number :
Provider Business Practice Location Address
First Line : 5102 W CAMPBELL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85031-1703
Country : US
Telephone Number : 602-344-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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