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General NPI Number Information
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NPI Number | 1326187345
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Entity Type | Individual
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Provider Name | COLBERT CHAVEZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 2240 GRANDE BLVD SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-1751
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Country | US
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Telephone | 505-727-4300
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Fax | 505-727-9590
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Provider Business Mailing Address
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Address Line | 4101 INDIAN SCHOOL RD NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3991
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Country | US
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Telephone | 505-727-5785
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Fax | 505-727-9770
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD2008-0465
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License Number State | NM
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Taxonomy #2
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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 | MD2008-0465
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD2008-0465
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License Number State | NM
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