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General NPI Number Information
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NPI Number | 1164381448
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Entity Type | Individual
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Provider Name | ALEJANDRA PRIETO DE CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1801 E COTATI AVE
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City | ROHNERT PARK
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State | CA
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Zip | 94928-3609
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Country | US
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Telephone | 707-664-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 607 SNOW CREEK DR
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City | PATTERSON
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State | CA
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Zip | 95363-8762
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Country | US
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Telephone | 209-988-8065
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95184911
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License Number State | CA
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