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General NPI Number Information
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NPI Number | 1386261899
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Entity Type | Individual
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Provider Name | ALEYDA L CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD STE 208
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2536
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Country | US
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Telephone | 305-995-0130
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Fax |
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Provider Business Mailing Address
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Address Line | 12550 BISCAYNE BLVD STE 208
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2536
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Country | US
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Telephone | 954-646-4826
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299995173
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License Number State | FL
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