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General NPI Number Information
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NPI Number | 1477033017
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Entity Type | Organization
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Legal Business Name | JM MEDICAL CONSULTING LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 43 WESTMONT RD
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City | AVON
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State | CT
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Zip | 06001-2381
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Country | US
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Telephone | 860-550-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 43 WESTMONT RD
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City | AVON
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State | CT
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Zip | 06001-2381
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Country | US
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Telephone | 860-550-1995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN MACHADO
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Credential | DO
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Telephone | 860-550-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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