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General NPI Number Information
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NPI Number | 1548798697
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Entity Type | Individual
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Provider Name | CHIKARA NKELE FOSTER-RETTIG MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 9835 N LAKE CREEK PKWY
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City | AUSTIN
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State | TX
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Zip | 78717-6210
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Country | US
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Telephone | 832-828-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 EDEN VALLEY LN
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City | PLANO
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State | TX
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Zip | 75093-5419
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Country | US
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Telephone | 469-744-5903
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | T1361
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | T1361
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License Number State | TX
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