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General NPI Number Information
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NPI Number | 1265571236
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Entity Type | Individual
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Provider Name | STEVEN MACHAROLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 255 GLEN COVE RD
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City | CARLE PLACE
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State | NY
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Zip | 11514-1207
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Country | US
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Telephone | 718-217-2896
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Fax | 718-217-4471
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Provider Business Mailing Address
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Address Line | 42 BUTTONWOOD DR
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City | DIX HILLS
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State | NY
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Zip | 11746-4835
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Country | US
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Telephone | 516-280-8202
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Fax | 516-280-8204
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 206981-4
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License Number State | NY
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