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General NPI Number Information
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NPI Number | 1861356131
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Entity Type | Individual
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Provider Name | MARLENE J CHAVEZ LVN
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 335 E AVENUE I
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City | LANCASTER
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State | CA
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Zip | 93535-1916
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Country | US
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Telephone | 661-471-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3334 THOMAS AVE
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City | PALMDALE
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State | CA
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Zip | 93550-8302
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Country | US
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Telephone | 661-547-4368
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | CA
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