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General NPI Number Information
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NPI Number | 1487816443
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Entity Type | Individual
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Provider Name | ALEXANDER IKEMEFUNA NGWUBE MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 1919 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7710
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Country | US
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Telephone | 602-933-0920
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Fax | 602-933-2492
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Provider Business Mailing Address
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Address Line | 3200 E CAMELBACK RD STE 250
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City | PHOENIX
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State | AZ
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Zip | 85018-2327
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Country | US
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Telephone | 602-933-1814
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Fax | 602-933-1820
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 51102
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 51102
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License Number State | AZ
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