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Individual
DAN DUPREE
Active
Individual
DAN DUPREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07035
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169234
MEDICAID
LA
01
—
G5096
BCBS
LA
Enumeration date
07/11/2007
Last updated
07/11/2007
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