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General NPI Number Information
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NPI Number | 1629634894
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Entity Type | Individual
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Provider Name | JANCIS ANNE HANNA BSN
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1200 J D ANDERSON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 304-598-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BIRDS EYE VIEW DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-2297
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Country | US
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Telephone | 240-362-3243
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN698636
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 90072
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 105441
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License Number State | WV
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