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NPI 1467461657

NPI 1467461657 : SARAH L MACHADO PA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1467461657
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH L MACHADO PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    02/16/2022
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Provider Practice Location Address
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    Address Line         |    8200 SW 117TH AVE STE 301 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33183-4826
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    Country              |    US
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    Telephone            |    786-493-1660
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    Fax                  |    305-661-9564
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Provider Business Mailing Address
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    Address Line         |    4410 RIVIERA DR 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33146-1334
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    Country              |    US
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    Telephone            |    786-493-1660
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA9101964
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA9101964
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    License Number State |    FL
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