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General NPI Number Information
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NPI Number | 1366737694
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Entity Type | Individual
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Provider Name | BENTLEY MAKKAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 125 16TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-5211
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Country | US
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Telephone | 206-326-3000
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Fax | 206-326-2785
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Provider Business Mailing Address
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Address Line | 125 16TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-5211
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Country | US
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Telephone | 206-326-3000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2013-0762
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60728171
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License Number State | WA
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