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General NPI Number Information
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NPI Number | 1790624401
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Entity Type | Individual
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Provider Name | DANIEL CHAVEZ
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Gender | Male
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 8811 CHARLOTTE HWY STE 101
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City | INDIAN LAND
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State | SC
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Zip | 29707-7901
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Country | US
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Telephone | 803-973-4183
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 MCPHERSON ST
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City | WAXHAW
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State | NC
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Zip | 28173-6404
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Country | US
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Telephone | 980-239-5261
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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