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General NPI Number Information
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NPI Number | 1417848896
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Entity Type | Individual
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Provider Name | DAVEN LEE CHAGNON
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 101 E HASTINGS RD
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City | SPOKANE
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State | WA
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Zip | 99218-4901
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Country | US
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Telephone | 509-340-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 N EXCELL CT
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City | SPOKANE
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State | WA
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Zip | 99208-4509
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Country | US
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Telephone | 509-991-9457
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | WA
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