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NPI Code Detail

MEDICARE: JENNIFER GAIL CHAVEZ

MEDICARE: JENNIFER GAIL CHAVEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588795272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GAIL CHAVEZ
Provider Business Mailing Address
First Line : 43520 DIVISION ST
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4089
Country : US
Telephone Number : 661-272-4883
Fax Number :
Provider Business Practice Location Address
First Line : 43520 DIVISION ST
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4089
Country : US
Telephone Number : 661-272-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 09/26/2012

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Directions to “ JENNIFER GAIL CHAVEZ ” Practice Location

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