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General NPI Number Information
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NPI Number | 1689980864
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Entity Type | Individual
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Provider Name | DEBORAH CHESMAR MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 4361 LATHAM ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-1730
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Country | US
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Telephone | 720-672-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 16TH ST
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City | DENVER
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State | CO
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Zip | 80202-5117
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Country | US
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Telephone | 720-903-0761
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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 | SP007879
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95014207
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License Number State | CA
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