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General NPI Number Information
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NPI Number | 1891098265
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Entity Type | Individual
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Provider Name | LEA C CHIAVARAS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 10/16/2015
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Provider Practice Location Address
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Address Line | 9201 E MOUNTAIN VIEW RD STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5199
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Country | US
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Telephone | 877-561-7335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6369
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City | HELENA
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State | MT
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Zip | 59604-6369
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Country | US
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Telephone | 406-457-4180
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R 169354-2
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R 169354-2
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NUR-RN-LIC-74637
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NUR-RN-LIC-74637
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License Number State | MT
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