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General NPI Number Information
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NPI Number | 1669256194
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Entity Type | Individual
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Provider Name | TRISHA LEE CHAVEZ LMT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 3854 E 120TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-1608
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Country | US
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Telephone | 720-388-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 468 SUNNYSIDE ST
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City | LOUISVILLE
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State | CO
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Zip | 80027-1317
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Country | US
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Telephone | 720-296-3655
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MT.0025931
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License Number State | CO
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