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General NPI Number Information
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NPI Number | 1275328502
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Entity Type | Individual
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Provider Name | SASHA CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1861 E MAPLE RD
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City | TROY
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State | MI
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Zip | 48083-4207
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Country | US
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Telephone | 248-246-0172
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Fax | 248-246-0173
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Provider Business Mailing Address
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Address Line | 2987 MORAINE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-9218
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Country | US
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Telephone | 810-772-1026
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704293307
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License Number State | MI
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