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General NPI Number Information
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NPI Number | 1720348287
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Entity Type | Individual
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Provider Name | ONYEKACHI CHIKA HAMMACK M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2790 HEALTH PKWY
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City | MT PLEASANT
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State | MI
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Zip | 48858-6934
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Country | US
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Telephone | 989-779-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 HEALTH PKWY ISABELLA CITIZENS FOR HEALTH
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City | MT PLEASANT
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State | MI
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Zip | 48858-8931
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Country | US
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Telephone | 989-779-5270
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301109582
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License Number State | MI
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