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NPI 1366538738

NPI 1366538738 : ADAM P CHAIKEN LCSW-R : HEMPSTEAD, NY

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General NPI Number Information
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    NPI Number           |    1366538738
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM P CHAIKEN LCSW-R
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    210 FULTON AVE 
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    City                 |    HEMPSTEAD
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    State                |    NY
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    Zip                  |    11550-3705
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    Country              |    US
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    Telephone            |    718-765-6001
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    Fax                  |    516-461-2893
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Provider Business Mailing Address
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    Address Line         |    PO BOX 746087 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-6087
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    Country              |    US
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    Telephone            |    312-733-9730
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    Fax                  |    773-866-8014
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    038155
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    License Number State |    NY
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