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General NPI Number Information
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NPI Number | 1235791815
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Entity Type | Individual
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Provider Name | CHIDINMA PAMELLA EJIKEME MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 3980 HIGHWAY 9 E STE 340
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City | LITTLE RIVER
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State | SC
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Zip | 29566-8165
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Country | US
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Telephone | 843-390-8302
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Fax | 843-390-8315
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Provider Business Mailing Address
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Address Line | 506 E CHEVES ST STE 202
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City | FLORENCE
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State | SC
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Zip | 29506-2616
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Country | US
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Telephone | 843-777-5091
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Fax | 843-777-5572
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 93732
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 93732
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 93732
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License Number State | SC
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