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General NPI Number Information
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NPI Number | 1881181378
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Entity Type | Individual
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Provider Name | JESSYCA FRANCO CHAVEZ ND
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Gender | Female
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/17/2021
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Provider Practice Location Address
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Address Line | 1003 E FAIRVIEW LN STE D
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City | ESPANOLA
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State | NM
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Zip | 87532-2562
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Country | US
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Telephone | 575-915-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 E FAIRVIEW LN STE D
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City | ESPANOLA
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State | NM
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Zip | 87532-2562
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Country | US
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Telephone | 575-915-2055
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 181702
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND0004
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License Number State | NM
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