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General NPI Number Information
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NPI Number | 1588844831
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Entity Type | Individual
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Provider Name | KEYA MANNING LPN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 760 1ST PL SW
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City | VERO BEACH
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State | FL
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Zip | 32962-3578
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Country | US
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Telephone | 772-562-6203
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Fax |
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Provider Business Mailing Address
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Address Line | 760 1ST PL SW
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City | VERO BEACH
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State | FL
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Zip | 32962-3578
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Country | US
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Telephone | 772-562-6203
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5146736
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | PN5146736
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | PN5146736
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9281613
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN9281613
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN9281613
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License Number State | FL
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