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General NPI Number Information
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NPI Number | 1699398040
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Entity Type | Individual
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Provider Name | TIMOTHY MAKKAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 25 COLONY BLVD STE 103
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-7971
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Country | US
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Telephone | 724-465-2676
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Fax |
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Provider Business Mailing Address
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Address Line | 640 KOLTER DR
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City | INDIANA
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State | PA
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Zip | 15701-3570
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Country | US
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Telephone | 724-357-7333
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Fax | 724-357-7279
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD485232
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License Number State | PA
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