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General NPI Number Information
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NPI Number | 1669082004
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Entity Type | Individual
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Provider Name | NICOLE TAYLOR MACHADO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 4751 SABLE PINE CIR APT 950D2
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-2798
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Country | US
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Telephone | 570-702-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 4751 SABLE PINE CIR APT 950D2
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-2798
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Country | US
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Telephone | 570-702-6997
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21273
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License Number State | FL
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