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General NPI Number Information
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NPI Number | 1851296198
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Entity Type | Individual
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Provider Name | SHANTAVIA ANEITA MANNING
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1400 FOREST GLEN RD
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City | SILVER SPRING
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State | MD
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Zip | 20910-1459
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Country | US
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Telephone | 301-754-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 ISLAND DR
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City | MIRAMAR
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State | FL
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Zip | 33023-3504
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Country | US
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Telephone | 305-915-2278
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11051411
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License Number State | FL
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