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General NPI Number Information
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NPI Number | 1629627450
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Entity Type | Individual
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Provider Name | MADELIN CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 9200 W CROSS DR STE 120
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City | LITTLETON
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State | CO
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Zip | 80123-2225
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Country | US
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Telephone | 720-542-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 1295 RACE ST APT 201
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City | DENVER
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State | CO
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Zip | 80206-2852
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Country | US
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Telephone | 619-988-0198
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PSLP.0001166
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License Number State | CO
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