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General NPI Number Information
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NPI Number | 1023283124
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Entity Type | Individual
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Provider Name | EVELYN LILLIAN KACHIKWU MD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2000 TRANSMOUNTAIN RD STE B
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City | EL PASO
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State | TX
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Zip | 79911-3602
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Country | US
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Telephone | 915-215-8400
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Fax | 915-612-9253
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Provider Business Mailing Address
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Address Line | 1325 N ROSE DR STE 210
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City | PLACENTIA
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State | CA
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Zip | 92870-3840
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Country | US
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Telephone | 714-961-5804
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Fax | 714-961-5809
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | V8657
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A94067
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A94067
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | V8657
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License Number State | TX
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