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General NPI Number Information
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NPI Number | 1023347044
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Entity Type | Individual
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Provider Name | DANILO MANANSALA
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Gender | Male
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 8008 ASHLANE WAY STE 120
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2106
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Country | US
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Telephone | 956-404-6783
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Fax | 317-388-0805
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Provider Business Mailing Address
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Address Line | 8008 ASHLANE WAY STE 120
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2106
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Country | US
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Telephone | 281-914-4679
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 2007008282
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1316343
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License Number State | TX
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