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General NPI Number Information
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NPI Number | 1710685094
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Entity Type | Individual
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Provider Name | GABRIELA MACHIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 98 S FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33432-4825
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Country | US
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Telephone | 561-368-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 FLAMANGO LAKE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-4308
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Country | US
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Telephone | 561-319-4533
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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 | 9116979
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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 | 9116979
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License Number State | FL
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