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General NPI Number Information
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NPI Number | 1871513887
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Entity Type | Individual
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Provider Name | RACHEL K. CHANEY M. D,
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 480 WOLVERINE DR UNIT 12
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City | BAYFIELD
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State | CO
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Zip | 81122-9653
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Country | US
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Telephone | 970-444-0260
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Fax | 970-444-0264
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Provider Business Mailing Address
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Address Line | PO BOX 6210
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City | FARMINGTON
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State | NM
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Zip | 87499-6210
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 92-195
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR.0052967
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License Number State | CO
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