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General NPI Number Information
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NPI Number | 1245711449
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Entity Type | Individual
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Provider Name | EMILY E MACIAS MD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 4700 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-6082
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E 2ND ST APT 426
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City | LOS ANGELES
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State | CA
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Zip | 90012-4183
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Country | US
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Telephone | 503-250-3894
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD227176
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A185261
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License Number State | CA
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