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General NPI Number Information
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NPI Number | 1033092515
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Entity Type | Organization
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Legal Business Name | MAK ABULHOSN PODIATRY SERVICES PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3040 78TH AVE SE UNIT 959
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3685
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Country | US
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Telephone | 206-949-2869
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 78TH AVE SE UNIT 959
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3685
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Country | US
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Telephone | 206-949-2869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAK ABULHOSN
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Credential | DPM
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Telephone | 206-949-2869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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