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General NPI Number Information
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NPI Number | 1013090224
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Entity Type | Individual
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Provider Name | MARIA YVONNE CHANSKY MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1905 BLAKE AVE STE 101
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4206
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Country | US
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Telephone | 970-945-2840
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Fax | 970-945-2893
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Provider Business Mailing Address
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Address Line | 1830 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601
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Country | US
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Telephone | 970-945-8503
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Fax | 970-945-0253
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26838
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 308844
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License Number State | NY
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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 | 35603
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C171652
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 261630
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301503993
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License Number State | MI
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