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General NPI Number Information
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NPI Number | 1720231574
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Entity Type | Individual
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Provider Name | MARISOL CHAVES D.D.S
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Gender | Female
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 2515 MASTERS ST.
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City | SHERMAN
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State | TX
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Zip | 75090
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Country | US
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Telephone | 903-893-2800
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Fax | 903-893-2877
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Provider Business Mailing Address
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Address Line | PO BOX 968
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City | SHERMAN
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State | TX
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Zip | 75091-0968
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Country | US
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Telephone | 903-893-2800
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Fax | 903-893-2877
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 19648
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License Number State | TX
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