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General NPI Number Information
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NPI Number | 1598384653
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Entity Type | Individual
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Provider Name | KAREN A MANNING NP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 2045 MEYER PL
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City | COSTA MESA
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State | CA
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Zip | 92627-2967
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Country | US
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Telephone | 949-515-6734
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Fax |
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Provider Business Mailing Address
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Address Line | 19992 CANYON DR
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City | YORBA LINDA
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State | CA
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Zip | 92886-6004
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Country | US
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Telephone | 714-319-8818
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 399050
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364SP0200X
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Taxonomy Name | Pediatric Clinical Nurse Specialist
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License Number | 399050
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 399050
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License Number State | CA
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