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General NPI Number Information
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NPI Number | 1831778844
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Entity Type | Individual
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Provider Name | ELEANOR LATRICE MANNING
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 1936 FOWL RD APT 411
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City | ELYRIA
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State | OH
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Zip | 44035-4439
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Country | US
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Telephone | 269-277-0213
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 FOWL RD APT 411
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City | ELYRIA
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State | OH
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Zip | 44035-4439
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Country | US
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Telephone | 269-277-0213
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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 | RN712090
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R43693
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License Number State | ND
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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 | 101248
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License Number State | WV
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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 | 39685
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License Number State | OH
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