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General NPI Number Information
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NPI Number | 1548148943
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Entity Type | Individual
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Provider Name | MAKALA NEW PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 106 HYANNIS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8327
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Country | US
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Telephone | 919-249-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3727 SW DURHAM DR APT 207
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City | DURHAM
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State | NC
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Zip | 27707-3781
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Country | US
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Telephone | 336-694-3155
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 202631129
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 327353
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License Number State | NC
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