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NPI 1992313357

NPI 1992313357 : AMIR MAKI DMD : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1992313357
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    Entity Type          |    Individual 
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    Provider Name        |    AMIR MAKI DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/21/2020
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    1100 FLORIDA AVE # 18 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70119-2715
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    Country              |    US
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    Telephone            |    610-620-5168
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1100 FLORIDA AVE 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70119-2715
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    Country              |    US
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    Telephone            |    610-620-5168
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS042795
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    7458
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    204E00000X
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    Taxonomy Name        |    Oral & Maxillofacial Surgery (D.M.D.)
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    License Number       |    347504
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    License Number State |    LA
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