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General NPI Number Information
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NPI Number | 1700444205
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Entity Type | Individual
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Provider Name | MELISSA CHAVEZ NP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 470 NOOR AVE
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-5916
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Country | US
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Telephone | 650-955-7915
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Fax | 650-955-7397
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Provider Business Mailing Address
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Address Line | 3305 DEERING ST
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City | OAKLAND
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State | CA
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Zip | 94601-2723
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Country | US
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Telephone | 510-689-7576
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1700444205
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License Number State | CA
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