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General NPI Number Information
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NPI Number | 1043129448
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Entity Type | Organization
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Legal Business Name | CHICAS CEO LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 377 VALLEY RD UNIT 3771
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City | CLIFTON
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State | NJ
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Zip | 07013-1319
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Country | US
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Telephone | 929-624-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 377 VALLEY RD UNIT 3771
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City | CLIFTON
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State | NJ
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Zip | 07013-1319
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Country | US
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Telephone | 929-624-8075
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GLORIA PEREZ
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Credential |
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Telephone | 929-624-8075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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