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General NPI Number Information
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NPI Number | 1366582470
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Entity Type | Individual
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Provider Name | LISA PAJESTKA CHAVEZ PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 S 1ST ST
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City | TEMPLE
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State | TX
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Zip | 76504-7451
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Country | US
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Telephone | 512-743-0019
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Fax | 512-743-0020
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Provider Business Mailing Address
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Address Line | 18323 LINK RD
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City | HOLLAND
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State | TX
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Zip | 76534-5041
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Country | US
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Telephone |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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