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1144646845 NPI number — BRANDON MACHICAO

NPI Number: 1144646845
Health Care Provider/Practitioner: BRANDON MACHICAO

Information about “1144646845” NPI (BRANDON MACHICAO) exists in 1144646845 in HTML format HTML  |  1144646845 in plain Text format TXT  |  1144646845 in PDF (Portable Document Format) PDF  |  1144646845 in an XML format XML  formats.

NPI Number : 1144646845 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144646845",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACHICAO",
    "FirstName": "BRANDON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1208 HILLMANN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARRENSBURG",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64093-7895",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-773-7755",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "407 BURKARTH RD STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARRENSBURG",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64093-3101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "660-747-5558",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2014",
    "LastUpdateDate": "08/27/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "2019027047",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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