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General NPI Number Information
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NPI Number | 1861997264
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Entity Type | Organization
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Legal Business Name | N. DIKE D.O PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4323 N JOSEY LN STE 301
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City | CARROLLTON
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State | TX
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Zip | 75010-4630
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Country | US
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Telephone | 214-407-8580
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Fax | 214-407-8581
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Provider Business Mailing Address
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Address Line | 4323 N JOSEY LN STE 301
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City | CARROLLTON
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State | TX
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Zip | 75010-4630
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Country | US
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Telephone | 214-407-8580
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Fax | 214-407-8581
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Authorized Official
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Title or Position | CEO
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Name | DR. NNAMDI CHIMA DIKE
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Credential | DO
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Telephone | 214-407-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | Q5176
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License Number State | TX
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