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General NPI Number Information
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NPI Number | 1376459321
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Entity Type | Individual
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Provider Name | ELMER CHAVEZ-CASTREJON DPT
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Gender | Male
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 450 NW GREENWOOD AVE
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City | REDMOND
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State | OR
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Zip | 97756-1531
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Country | US
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Telephone | 541-923-0410
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Fax |
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Provider Business Mailing Address
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Address Line | 3195 NE DELMAS ST
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City | BEND
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State | OR
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Zip | 97701-7709
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Country | US
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Telephone | 541-279-9225
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 66235
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License Number State | OR
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