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General NPI Number Information
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NPI Number | 1477876803
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Entity Type | Individual
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Provider Name | KELLY RENEE MANGOLD CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 3 SCARLET OAK CT
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-2130
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Country | US
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Telephone | 312-919-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SCARLET OAK CT
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-2130
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Country | US
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Telephone | 312-919-6286
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2010005602
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License Number State | MO
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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 | 6708
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License Number State | NC
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