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General NPI Number Information
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NPI Number | 1164985115
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Entity Type | Individual
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Provider Name | ADAEZE AZIE
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 11 E 44TH ST RM 900
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City | NEW YORK
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State | NY
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Zip | 10017-0059
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Country | US
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Telephone | 646-924-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 ARNOW AVE
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City | BRONX
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State | NY
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Zip | 10469-5212
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X013070-1
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License Number State | NY
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