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General NPI Number Information
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NPI Number | 1427027630
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Entity Type | Individual
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Provider Name | MICHAEL A. CHIECO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 901 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-294-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 49 CARRIAGE WAY
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City | BARNEGAT
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State | NJ
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Zip | 08005-3393
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Country | US
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Telephone | 917-297-4680
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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 | 225231
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA07773600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 24MA07773600
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License Number State | NJ
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