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General NPI Number Information
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NPI Number | 1225899495
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Entity Type | Organization
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Legal Business Name | MACHAT EYE CARE PLLC
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 6525 CARNEGIE BLVD STE 108
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City | CHARLOTTE
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State | NC
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Zip | 28211-3532
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Country | US
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Telephone | 561-501-1961
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Fax |
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Provider Business Mailing Address
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Address Line | 850 OWENS LAKE RD
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City | ALPHARETTA
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State | GA
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Zip | 30004-7351
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Country | US
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Telephone | 561-501-1961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFERY MACHAT
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Credential |
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Telephone | 310-710-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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