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General NPI Number Information
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NPI Number | 1144582636
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Entity Type | Organization
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Legal Business Name | DANIELLE CHEVATEWA, LLC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 574A 20TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218-1049
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Country | US
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Telephone | 718-871-9252
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Fax |
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Provider Business Mailing Address
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Address Line | 574A 20TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218-1049
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Country | US
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Telephone | 718-871-9252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIELLE ELIZABETH CHEVATEWA
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Credential | M.S.ED.
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Telephone | 718-871-9252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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