# MISS AMANDA DOLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467228916
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 11165 | AZ | — |
| 363A00000X | Physician Assistant | 5601012455 | MI | — |
| 363A00000X | Physician Assistant | 9119905 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 07/07/2026