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General NPI Number Information
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NPI Number | 1669324117
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Entity Type | Individual
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Provider Name | DIANA VANNESSA MAGANA CAA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 805 PAMPLICO HWY
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City | FLORENCE
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State | SC
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Zip | 29505-6047
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Country | US
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Telephone | 843-674-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 S WILLOW POINT CT
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City | FRANKLIN
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State | WI
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Zip | 53132-8973
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Country | US
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Telephone | 414-313-6575
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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