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General NPI Number Information
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NPI Number | 1437941069
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Entity Type | Organization
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Legal Business Name | KRISTINE MACHADO LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1254 COTTONWOOD ST
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City | TULARE
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State | CA
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Zip | 93274-6395
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Country | US
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Telephone | 805-286-2529
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 COTTONWOOD ST
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City | TULARE
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State | CA
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Zip | 93274-6395
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Country | US
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Telephone | 805-286-2529
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KRISTINE MACHADO
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Credential |
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Telephone | 559-269-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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