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General NPI Number Information
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NPI Number | 1427545474
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Entity Type | Individual
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Provider Name | BRENDA YESENIA CHAVEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1665 ANTILLEY RD STE 200
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City | ABILENE
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State | TX
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Zip | 79606-5271
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Country | US
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Telephone | 325-793-5109
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Fax | 325-794-5106
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Provider Business Mailing Address
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Address Line | PO BOX 1198
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City | ABILENE
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State | TX
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Zip | 79604-1198
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Country | US
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Telephone | 325-670-4220
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Fax | 325-670-4040
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T2573
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License Number State | TX
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