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General NPI Number Information
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NPI Number | 1134506025
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Entity Type | Organization
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Legal Business Name | CHECE PSYCHOLOGICAL, LLC
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 18 KINGS HWY # 104
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2509
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Country | US
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Telephone | 732-829-4654
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Fax | 732-671-8704
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Provider Business Mailing Address
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Address Line | 18 KINGS HWY # 104
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2509
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Country | US
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Telephone | 732-671-8700
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Fax | 732-671-8704
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN DAVID CHECE
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Credential |
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Telephone | 732-829-4654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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