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General NPI Number Information
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NPI Number | 1821641184
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Entity Type | Individual
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Provider Name | HAIDEE CHAVEZ WAYMIRE NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 8763 E BELL RD STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1318
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Country | US
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Telephone | 480-927-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 17155 W BENT TREE DR
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City | SURPRISE
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State | AZ
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Zip | 85387-3449
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Country | US
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Telephone | 623-332-8159
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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 | 227361
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License Number State | AZ
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