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General NPI Number Information
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NPI Number | 1639272610
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Entity Type | Individual
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Provider Name | VICKY J CHEE PA C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | EXIT 102 OFF I40 1/2 MILE SOUTH ACOMA CANONCITO LAGURA HOSPITAL
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City | SAN FIDEL
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State | NM
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Zip | 87049
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Country | US
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Telephone | 505-552-5447
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Fax | 505-552-5490
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Provider Business Mailing Address
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Address Line | 933 BRADBURY DR SE STE 1134
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4375
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Country | US
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Telephone | 505-552-5447
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Fax | 505-552-5490
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2002 0004
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License Number State | NM
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