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General NPI Number Information
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NPI Number | 1043976046
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Entity Type | Individual
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Provider Name | ALEXANDER CHAVEZ-SILES
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Gender | Male
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1650 E 4TH ST STE 101
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City | SANTA ANA
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State | CA
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Zip | 92701-5159
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Country | US
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Telephone | 714-525-8509
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Fax |
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Provider Business Mailing Address
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Address Line | 12728 LINNELL AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4212
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Country | US
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Telephone | 714-588-3676
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 155855
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License Number State | CA
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