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General NPI Number Information
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NPI Number | 1023413697
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Entity Type | Individual
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Provider Name | CHIDI AMADI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2014
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 2906 HOUSTON HWY
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City | VICTORIA
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State | TX
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Zip | 77901-4681
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Country | US
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Telephone | 361-576-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 5015 BLOOMFIELD PASS CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-3768
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Country | US
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Telephone | 281-683-6270
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 53136
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License Number State | TX
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