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NPI 1255508412

NPI 1255508412 : FRANCO JOSEPH MANISCALCO CRNA : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1255508412
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCO JOSEPH MANISCALCO CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2008
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    Last Update Date     |    03/31/2015
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Provider Practice Location Address
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    Address Line         |    6430 ROCKLEDGE DR. SUITE 160
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20817
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    Country              |    US
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    Telephone            |    301-312-6144
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    68 SOUTH SERVICE ROAD SUITE 350
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747
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    Country              |    US
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    Telephone            |    516-945-3000
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    Fax                  |    516-945-3131
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    145607-30
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    13676
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    182305
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    AC001450
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    License Number State |    MD
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