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General NPI Number Information
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NPI Number | 1396855789
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Entity Type | Individual
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Provider Name | CLAUDIO MACHEVAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 2776 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-5864
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Country | US
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Telephone | 239-343-1614
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Fax | 239-343-3695
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Provider Business Mailing Address
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Address Line | 25402 GALASHIELDS CIR
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-1968
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Country | US
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Telephone | 239-498-5595
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Fax | 239-498-5595
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME53951
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License Number State | FL
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