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General NPI Number Information
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NPI Number | 1245706126
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Entity Type | Individual
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Provider Name | MICHAEL CHAVEZ
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Gender | Male
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 2805 FREMONT ST
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City | LAS VEGAS
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State | NV
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Zip | 89104-2213
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Country | US
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Telephone | 702-237-3889
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 VEGAS DR APT 1030
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City | LAS VEGAS
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State | NV
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Zip | 89108-7773
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Country | US
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Telephone | 702-237-3889
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | NV
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