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General NPI Number Information
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NPI Number | 1295639151
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Entity Type | Organization
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Legal Business Name | CHEF COLLABORATIVE, INC.
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 15500 VOSS RD STE 425
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City | SUGAR LAND
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State | TX
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Zip | 77498-3512
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Country | US
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Telephone | 210-854-4479
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160324
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City | SAN ANTONIO
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State | TX
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Zip | 78280-2524
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Country | US
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Telephone | 210-854-4479
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | DAVID BUENAVENTURA
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Credential |
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Telephone | 210-854-4479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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