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General NPI Number Information
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NPI Number | 1861122723
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Entity Type | Individual
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Provider Name | ANNA MACHADO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 901 RIVERFRONT PKWY STE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37402-2193
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Country | US
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Telephone | 423-756-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 5357 RENEAU WAY
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City | EAST RIDGE
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State | TN
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Zip | 37412-1485
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Country | US
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Telephone | 423-763-3867
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 31747
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License Number State | TN
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