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General NPI Number Information
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NPI Number | 1790976181
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Entity Type | Individual
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Provider Name | ANGELA RENEE CHAVEZ L.V.N.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 18440 HATTERAS ST APT # 18
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City | TARZANA
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State | CA
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Zip | 91356-1909
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Country | US
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Telephone | 818-345-9510
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Fax |
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Provider Business Mailing Address
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Address Line | 460 ALAMOSA AVE
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City | PALMDALE
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State | CA
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Zip | 93551-4442
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Country | US
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Telephone | 818-518-6437
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN 198000
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License Number State | CA
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