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General NPI Number Information
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NPI Number | 1437292349
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Entity Type | Individual
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Provider Name | ALOY IKECHUKWU ADIGWEME RPH
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5134 FIRESTONE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-6722
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Country | US
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Telephone | 904-777-9911
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Fax | 904-680-0695
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Provider Business Mailing Address
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Address Line | PO BOX 43364
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City | JACKSONVILLE
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State | FL
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Zip | 32203-3364
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Country | US
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Telephone | 904-260-2792
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Fax | 904-680-0695
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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 | PS0020649
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS0020649
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License Number State | FL
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