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General NPI Number Information
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NPI Number | 1356153621
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Entity Type | Individual
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Provider Name | MICHELLE CHAVEZ NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 4815 ALAMEDA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2705
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Country | US
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Telephone | 915-544-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 11924 PUEBLO DEL RIO WAY
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City | EL PASO
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State | TX
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Zip | 79936-5595
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Country | US
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Telephone | 915-799-7695
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1168914
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 1168914
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License Number State | TX
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