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General NPI Number Information
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NPI Number | 1649106626
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Entity Type | Individual
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Provider Name | TRACY CHAVEZ LMRT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 2413 SAINT GEORGE DR
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City | CELINA
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State | TX
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Zip | 75009-4847
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Country | US
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Telephone | 925-813-4590
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 SAINT GEORGE DR
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City | CELINA
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State | TX
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Zip | 75009-4847
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Country | US
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Telephone | 469-428-2975
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | LMR02001653
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License Number State | TX
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