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NPI 1619609468

NPI 1619609468 : SHOLANA DAY WEBB : MANCHESTER, NH

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General NPI Number Information
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    NPI Number           |    1619609468
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    Entity Type          |    Individual 
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    Provider Name        |    SHOLANA DAY WEBB
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/29/2022
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    Last Update Date     |    09/24/2026
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Provider Practice Location Address
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    Address Line         |    1 ELLIOT WAY 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03103-3502
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    Country              |    US
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    Telephone            |    603-669-5300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    74 SPEARE RD 
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    City                 |    HUDSON
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    State                |    NH
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    Zip                  |    03051-4414
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    Country              |    US
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    Telephone            |    512-673-0039
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN289888
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    License Number State |    GA
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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       |    139713
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    786139
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    License Number State |    TX
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