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General NPI Number Information
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NPI Number | 1487876777
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Entity Type | Organization
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Legal Business Name | FRANCES CHAVEZ MD LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 435 SAINT MICHAELS DR SUITE B203
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City | SANTA FE
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State | NM
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Zip | 87505-7672
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Country | US
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Telephone | 505-983-9366
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Fax | 505-983-0661
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Provider Business Mailing Address
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Address Line | 435 SAINT MICHAELS DR SUITE B203
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City | SANTA FE
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State | NM
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Zip | 87505-7672
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Country | US
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Telephone | 505-983-9366
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Fax | 505-983-0661
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Authorized Official
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Title or Position | OWNWER
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Name | FRANCES LOUISE CHAVEZ
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Credential | M.D.
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Telephone | 505-983-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2001-22
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License Number State | NM
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