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Individual
MR. FREDERICK LEON POLANDO
Active
Individual
MR. FREDERICK LEON POLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1940
SC
363AM0700X
Medical Physician Assistant
MA002186L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175863
UNITED HEALTHCARE
WV
01
—
5627895
AETNA
SC
01
—
80026712
SELECT HEALTH
SC
01
—
8600568
AETNA
WV
01
—
P01225399
RAILROAD MCR
SC
Enumeration date
09/14/2006
Last updated
12/16/2014
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