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General NPI Number Information
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NPI Number | 1821803107
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Entity Type | Individual
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Provider Name | MICHAEL RALPH CHAVARRIA JR. MA W/PPS CREDENTIAL
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Gender | Male
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 3601 KOHNEN WAY
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City | DUBLIN
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State | CA
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Zip | 94568-8751
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Country | US
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Telephone | 925-875-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 1663 N RIPON RD UNIT 301
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City | RIPON
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State | CA
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Zip | 95366-9822
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Country | US
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Telephone | 209-675-3880
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 240229854
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License Number State | CA
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