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General NPI Number Information
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NPI Number | 1447596960
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Entity Type | Individual
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Provider Name | AMEE C CHACON
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Gender | Female
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 1731 S HIGHWAY 160
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City | PAHRUMP
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State | NV
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Zip | 89048-4711
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Country | US
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Telephone | 775-209-9213
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3305
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City | PAHRUMP
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State | NV
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Zip | 89041-3305
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Country | US
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Telephone | 702-279-8678
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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