MEDICARE: DR. JOHN S. DAKEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0058283	MD

General Provider Information

NPI Number	:	1730159252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN S. DAKEN M.D.

Provider Business Mailing Address
First Line	:	8455 COLESVILLE RD
Second Line	:	SUITE 1025
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3396
Country	:	US
Telephone Number	:	301-608-9205
Fax Number	:	301-608-0146

Provider Business Practice Location Address
First Line	:	8455 COLESVILLE RD
Second Line	:	SUITE 1025
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3396
Country	:	US
Telephone Number	:	301-608-9205
Fax Number	:	301-608-0146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/26/2013

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