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General NPI Number Information
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NPI Number | 1558022103
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Entity Type | Organization
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Legal Business Name | NEW LIFE OBGYN PLLC
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1006 S 64TH AVE STE 120
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City | YAKIMA
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State | WA
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Zip | 98908-2090
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Country | US
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Telephone | 509-517-7777
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Fax | 509-317-9547
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Provider Business Mailing Address
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Address Line | 1006 S 64TH AVE STE 120
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City | YAKIMA
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State | WA
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Zip | 98908-2090
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Country | US
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Telephone | 509-517-5777
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Fax | 509-317-9547
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHELLE SANJUAN CHAVEZ
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Credential | DO
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Telephone | 509-517-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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