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General NPI Number Information
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NPI Number | 1407201221
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Entity Type | Individual
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Provider Name | AMANDA CHAVEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 17510 W GRAND PKWY S STE 310
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City | SUGAR LAND
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State | TX
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Zip | 77479-2648
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Country | US
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Telephone | 713-338-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 W PANTHER CREEK DR STE 100
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City | THE WOODLANDS
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State | TX
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Zip | 77381-2568
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Country | US
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Telephone | 281-364-8600
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Fax | 281-298-2005
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | S1998
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License Number State | TX
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