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General NPI Number Information
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NPI Number | 1962451724
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Entity Type | Individual
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Provider Name | SAMUEL PADILLA MACHUCA MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1845 BAYAMON MEDICAL PLAZA STE 509
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-786-9200
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Fax | 787-786-9700
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Provider Business Mailing Address
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Address Line | REPARTO TERESITA C/30 AD-3
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City | BAYAMON
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State | RI
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Zip | 00961-8343
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Country | US
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Telephone | 787-466-3403
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Fax | 787-268-7271
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 15949
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License Number State | PR
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