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General NPI Number Information
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NPI Number | 1629166392
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Entity Type | Individual
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Provider Name | RICARDO MACHADO MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 701-240-6807
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Fax |
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Provider Business Mailing Address
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Address Line | 9069 SKYLANE DR
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City | WADSWORTH
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State | OH
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Zip | 44281-9513
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Country | US
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Telephone | 701-240-6807
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 9774
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License Number State | ND
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