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General NPI Number Information
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NPI Number | 1528654928
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Entity Type | Individual
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Provider Name | AMBER JANE CHAVEZ PHARM D
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Gender | Female
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 12/19/2020
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Provider Practice Location Address
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Address Line | 201 CEDAR ST SE STE 4620
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4922
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Country | US
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Telephone | 505-563-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 11925 ORYX PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-7222
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Country | US
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Telephone | 505-659-6007
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PC00000288
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License Number State | NM
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