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General NPI Number Information
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NPI Number | 1700876018
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Entity Type | Individual
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Provider Name | DANIEL LEON MAISON MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 5457 TWIN KNOLLS RD STE 100
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City | COLUMBIA
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State | MD
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Zip | 21045-3263
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Country | US
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Telephone | 410-689-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 17855 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 346-376-1702
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Fax | 224-532-2780
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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 | V0037
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME84214
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301097415
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A62106
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D84710
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License Number State | MD
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