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General NPI Number Information
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NPI Number | 1689183246
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Entity Type | Individual
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Provider Name | CHAKITA LAVET BEVERLY AGPCNP-C; PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 405 RIVER RD
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City | GREENWOOD
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State | MS
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Zip | 38930-4212
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Country | US
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Telephone | 662-304-8805
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Fax | 662-362-8061
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Provider Business Mailing Address
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Address Line | 1101 MISSISSIPPI AVE
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City | GREENWOOD
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State | MS
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Zip | 38930-5224
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Country | US
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Telephone | 662-374-3209
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 902324
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 902324
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 902324
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 902324
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License Number State | MS
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