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General NPI Number Information
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NPI Number | 1588770317
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Entity Type | Individual
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Provider Name | JOANNE MARCIA MANN CRNA ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD.
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1049
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Provider Business Mailing Address
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Address Line | 5180 48TH TER N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-3852
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Country | US
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Telephone | 727-522-0973
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Fax | 727-522-0973
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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 | 779002
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License Number State | FL
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