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General NPI Number Information
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NPI Number | 1538895065
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Entity Type | Individual
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Provider Name | DRAKE CHAVES DPT
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Gender | Male
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 3204 SMOKEY POINT DR STE 103
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City | ARLINGTON
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State | WA
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Zip | 98223-8476
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Country | US
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Telephone | 360-651-8880
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Fax | 360-651-9975
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Provider Business Mailing Address
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Address Line | 27500 102ND AVE NW STE 1
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City | STANWOOD
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State | WA
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Zip | 98292-8092
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Country | US
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Telephone | 360-629-7528
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Fax | 360-629-7632
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61272444
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License Number State | WA
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