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General NPI Number Information
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NPI Number | 1235135955
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Entity Type | Individual
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Provider Name | LASZLO J. MAKK MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1941 BISHOP LN STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40218-1973
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Country | US
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Telephone | 502-888-1988
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Fax |
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Provider Business Mailing Address
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Address Line | ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
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City | GERMANTOWN
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State | TN
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Zip | 38183-1468
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Country | US
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Telephone |
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Fax |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 27282
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License Number State | KY
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