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General NPI Number Information
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NPI Number | 1679408454
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Entity Type | Individual
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Provider Name | ALEXANDRA CHIZMAR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone | 954-257-5937
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Fax |
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Provider Business Mailing Address
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Address Line | 2060 LOMBARD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1315
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Country | US
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Telephone | 267-234-3369
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP459483
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License Number State | PA
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