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General NPI Number Information
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NPI Number | 1417728411
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Entity Type | Individual
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Provider Name | DENISE CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1765 SW CAPTAINS PL
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City | PALM CITY
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State | FL
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Zip | 34990-1747
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Country | US
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Telephone | 772-266-8727
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Fax | 772-494-7093
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Provider Business Mailing Address
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Address Line | 2181 N AUSTRALIAN AVE APT 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5674
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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