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General NPI Number Information
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NPI Number | 1205028545
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Entity Type | Individual
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Provider Name | TONIA LYNN MANLEY NURSING
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Gender | Female
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1224 W RIVERSIDE AVE APT 107
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City | SPOKANE
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State | WA
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Zip | 99201-1115
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Country | US
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Telephone | 509-328-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 6403 N A ST
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City | SPOKANE
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State | WA
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Zip | 99208-4503
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Country | US
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Telephone | 253-226-0125
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN60176993
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License Number State | WA
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