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General NPI Number Information
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NPI Number | 1548472384
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Entity Type | Organization
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Legal Business Name | MAIA DANIELSON, MD PA
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 1710 ED CAREY DRIVE
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-428-1922
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Fax | 956-423-0506
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Provider Business Mailing Address
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Address Line | 2224 SOUTH 77 SUNSHINE STRIP STE #96 PMB #189
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-428-1922
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Fax | 956-423-0506
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Authorized Official
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Title or Position | M.D.
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Name | MAIA SERENA DANIELSON
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Credential | M.D.
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Telephone | 956-428-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L2210
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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