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General NPI Number Information
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NPI Number | 1881011583
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Entity Type | Organization
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Legal Business Name | DAVID A CHAVEZ MD PC
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 70 S 20TH AVE STE H
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City | BRIGHTON
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State | CO
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Zip | 80601-3703
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Country | US
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Telephone | 303-655-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 70 S 20TH AVE STE H
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City | BRIGHTON
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State | CO
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Zip | 80601-3703
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Country | US
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Telephone | 303-655-1111
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DAVID A CHAVEZ
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Credential | MD
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Telephone | 303-655-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0037131
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License Number State | CO
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