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Individual
DANE A ULETT
Active
Individual
DANE A ULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947196K
—
GA
05
—
000947196L
—
GA
01
—
2847290
AETNA
GA
01
—
323277
UNITED HEALTHCARE
GA
05
—
336928
—
GA
01
—
52887103-033
BLUE CROSS BLUE SH OF GA
GA
01
—
581994261
CIGNA
GA
01
—
P00465728
RAILROAD MEDICARE
GA
Enumeration date
04/06/2006
Last updated
12/03/2019
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