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General NPI Number Information
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NPI Number | 1922442706
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Entity Type | Individual
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Provider Name | DANIEL CHRISTOPHER DOLLAR
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Gender | Male
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 2106 LOOP RD
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City | WINNSBORO
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State | LA
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Zip | 71295-3344
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Country | US
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Telephone | 318-435-9411
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Fax | 318-435-6519
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Provider Business Mailing Address
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Address Line | 2106 LOOP RD
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City | WINNSBORO
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State | LA
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Zip | 71295-3344
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Country | US
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Telephone | 318-435-9411
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Fax | 318-435-6519
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.325205
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License Number State | LA
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