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General NPI Number Information
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NPI Number | 1790360600
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Entity Type | Individual
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Provider Name | KATHERINE PAOLA CHAVEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 7-11 S BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3531
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Country | US
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Telephone | 914-723-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 12-18 LINCOLN PL APT 3
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City | OSSINING
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State | NY
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Zip | 10562-5242
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Country | US
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Telephone | 914-434-0322
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F347410
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License Number State | NY
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