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Individual
MICHAEL DANA
Active
Individual
MICHAEL DANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01216264
RR MEDICARE
NC
Enumeration date
11/15/2012
Last updated
06/21/2018
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