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General NPI Number Information
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NPI Number | 1790846640
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Entity Type | Individual
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Provider Name | JOSE FERNANDO CHAVEZ MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1220 12TH ST. SE SUITE 120
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City | WASHINGTON
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State | DC
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Zip | 20003
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Country | US
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Telephone | 202-610-7160
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Fax | 202-610-7164
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Provider Business Mailing Address
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Address Line | PO BOX 43564
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City | WASHINGTON
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State | DC
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Zip | 20009
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Country | US
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Telephone | 202-610-7160
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Fax | 202-610-7164
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD21335
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License Number State | DC
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