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General NPI Number Information
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NPI Number | 1053377531
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Entity Type | Individual
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Provider Name | MELINDA CHAVEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 4321 MARSHA SHARP FREEWAY DOOR #1
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City | LUBBOCK
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State | TX
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Zip | 79407-2504
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Country | US
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Telephone | 806-797-2139
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Fax | 806-797-3105
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Provider Business Mailing Address
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Address Line | 4321 MARSHA SHARP FREEWAY DOOR #1
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City | LUBBOCK
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State | TX
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Zip | 79407-2504
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Country | US
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Telephone | 806-797-2139
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Fax | 806-797-3105
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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 | 620800
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 620800
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP111923
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License Number State | TX
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