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General NPI Number Information
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NPI Number | 1669855888
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Entity Type | Organization
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Legal Business Name | ALEXIS CHIKA MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 15823 DEER CREEK CT
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City | LAUREL
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State | MD
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Zip | 20707-5359
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Country | US
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Telephone | 240-280-9707
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Fax |
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Provider Business Mailing Address
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Address Line | 15823 DEER CREEK CT
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City | LAUREL
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State | MD
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Zip | 20707-5359
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Country | US
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Telephone | 240-280-9707
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. ALEXIS CHIKA NWORAH
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Credential | M.D
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Telephone | 240-280-9707
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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 | D79929
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License Number State | MD
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