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Individual
MICHAEL A DOLLARD
Active
Individual
MICHAEL A DOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495200004
BSNENY
NY
05
—
03027016
—
NY
01
—
080925000085
FIDELIS
NY
01
—
10040637
CDPHP
NY
01
—
6019908
MVP HEALTHCARE
NY
Enumeration date
04/10/2006
Last updated
01/25/2018
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