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General NPI Number Information
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NPI Number | 1164392106
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Entity Type | Organization
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Legal Business Name | NYKIA CHICHIZOLA-PEACE, M.D., P.C.
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4326 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90062-1648
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Country | US
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Telephone | 310-766-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 40839 MORRIS ST
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City | INDIO
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State | CA
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Zip | 92203-3053
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Country | US
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Telephone | 310-766-3441
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Fax |
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Authorized Official
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Title or Position | CEO,CFO
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Name | NYKIA CHICHIZOLA-PEACE
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Credential | MD
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Telephone | 310-766-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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