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General NPI Number Information
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NPI Number | 1942442264
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Entity Type | Individual
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Provider Name | SCOTT MANNING CRNA, MSN
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 18 HEMISON CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-3343
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Country | US
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Telephone | 443-610-7773
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Fax |
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Provider Business Mailing Address
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Address Line | 18 HEMISON CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-3343
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Country | US
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Telephone | 443-610-7773
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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 | R169313
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License Number State | MD
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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 | R169313
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License Number State | MD
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