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General NPI Number Information
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NPI Number | 1295081479
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Entity Type | Individual
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Provider Name | DAVID TERAN CHAVEZ PA
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Gender | Male
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 2900 DENTON HWY STE A
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City | HALTOM CITY
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State | TX
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Zip | 76117-3763
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Country | US
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Telephone | 817-831-2012
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Fax | 817-831-0134
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Provider Business Mailing Address
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Address Line | 5908 ROCKY POINT DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2262
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Country | US
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Telephone | 817-291-9302
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 031853
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07817
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License Number State | TX
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