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General NPI Number Information
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NPI Number | 1962388660
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Entity Type | Individual
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Provider Name | LAURYN CHAVEZ
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 23635 WILDERNESS OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3570
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Country | US
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Telephone | 210-490-2677
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Fax | 866-595-1374
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Provider Business Mailing Address
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Address Line | 24403 BEAR MTN
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7252
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Country | US
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Telephone | 719-355-0021
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 343333
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License Number State | TX
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