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General NPI Number Information
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NPI Number | 1437915212
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Entity Type | Individual
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Provider Name | DANIELLA CATABAY MANARANG PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 875 OAK ST SE STE 5060
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City | SALEM
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State | OR
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Zip | 97301-3987
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Country | US
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Telephone | 503-399-1386
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Fax | 503-399-1182
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Provider Business Mailing Address
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Address Line | 151 N WILLIAMS AVE APT 103
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-2701
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Country | US
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Telephone | 925-321-9201
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA219362
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License Number State | OR
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