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General NPI Number Information
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NPI Number | 1093348302
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Entity Type | Individual
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Provider Name | BRENNA K MCMANUS PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 300 W TRYON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2438
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Country | US
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Telephone | 919-245-2400
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Fax | 919-968-2013
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Provider Business Mailing Address
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Address Line | 300 W TRYON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2438
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Country | US
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Telephone | 919-245-2400
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Fax | 919-968-2013
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-09808
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License Number State | NC
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