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General NPI Number Information
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NPI Number | 1033410410
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Entity Type | Organization
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Legal Business Name | DANIEL E MAKAS DO PA
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 540 RIVERSIDE DR STE 6
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City | SALISBURY
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State | MD
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Zip | 21801-5352
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Country | US
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Telephone | 410-677-3736
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Fax | 410-677-0922
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Provider Business Mailing Address
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Address Line | PO BOX 3269
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City | SALISBURY
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State | MD
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Zip | 21802-3269
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Country | US
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Telephone | 410-677-3736
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Fax | 410-677-0922
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL E MAKAS
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Credential | DO
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Telephone | 410-677-3736
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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 | H0048241
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License Number State | MD
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