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General NPI Number Information
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NPI Number | 1801507462
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Entity Type | Organization
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Legal Business Name | FRANCISCO G. MACHUCA M.D. LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 1513 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3916
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Country | US
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Telephone | 702-340-9746
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Fax |
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Provider Business Mailing Address
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Address Line | 15969 ADAMS ST
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City | OMAHA
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State | NE
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Zip | 68135-6325
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Country | US
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Telephone | 530-990-6519
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Fax | 702-850-9105
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Authorized Official
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Title or Position | OWNER
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Name | FRANCISCO G MACHUCA
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Credential | MD
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Telephone | 702-533-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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