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General NPI Number Information
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NPI Number | 1851637078
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Entity Type | Individual
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Provider Name | NATIVIDAD CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 7426 W BONNIE PL
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City | KENNEWICK
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State | WA
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Zip | 99336-1124
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Country | US
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Telephone | 866-904-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 7426 W BONNIE PL
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City | KENNEWICK
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State | WA
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Zip | 99336-1124
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Country | US
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Telephone | 866-904-7721
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 60314069
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License Number State | WA
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