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General NPI Number Information
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NPI Number | 1144111998
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Entity Type | Individual
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Provider Name | JOSE M CHAVEZ ED.D., BCET, ADHD-CE
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Gender | Male
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1465 E 103RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90002-3306
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Country | US
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Telephone | 323-564-7911
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Fax | 323-564-7911
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Provider Business Mailing Address
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Address Line | 1465 E 103RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90002-3306
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Country | US
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Telephone | 323-564-7911
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Fax | 323-569-8527
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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Taxonomy #2
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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Taxonomy #3
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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