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General NPI Number Information
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NPI Number | 1578145447
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Entity Type | Individual
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Provider Name | CHEYENNE MATTES MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2967 OAK RUN PKWY
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-5454
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Country | US
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Telephone | 830-625-0305
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Fax |
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Provider Business Mailing Address
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Address Line | 11937 US HIGHWAY 271
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City | TYLER
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State | TX
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Zip | 75708-3154
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Country | US
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Telephone | 903-877-7777
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U1719
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License Number State | TX
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