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General NPI Number Information
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NPI Number | 1447892948
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Entity Type | Individual
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Provider Name | STEVEN CHAVEZ TREVINO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 221 3RD ST W BLDG 1040
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City | UNIVERSAL CITY
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State | TX
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Zip | 78150-4800
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Country | US
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Telephone | 210-652-1876
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Fax |
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Provider Business Mailing Address
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Address Line | 15519 CAPRI LN
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City | SELMA
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State | TX
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Zip | 78154-3569
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Country | US
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Telephone | 210-789-3301
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP143530
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License Number State | TX
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