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Individual
DANIEL LONG
Active
Individual
DANIEL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
303108
LA
363AS0400X
Surgical Physician Assistant
Primary
303108
LA
363AS0400X
Surgical Physician Assistant
—
LA
Other
Enumeration date
04/28/2016
Last updated
05/16/2025
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