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General NPI Number Information
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NPI Number | 1467849760
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Entity Type | Individual
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Provider Name | GABRIELA MICHELLE CHAVEZ-OBERGFELL PT, DPT, MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 556 E BARHAM DR APT 229
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City | SAN MARCOS
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State | CA
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Zip | 92078-7403
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Country | US
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Telephone | 714-728-0069
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Fax |
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Provider Business Mailing Address
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Address Line | 556 E BARHAM DR APT 229
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City | SAN MARCOS
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State | CA
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Zip | 92078-7403
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Country | US
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Telephone | 714-728-0069
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 14138
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 291223
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License Number State | CA
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