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NPI 1578425161

NPI 1578425161 : SICA PSYCHIATRY, LLC : CHESTER, NJ

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General NPI Number Information
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    NPI Number           |    1578425161
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    Entity Type          |    Organization 
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    Legal Business Name  |    SICA PSYCHIATRY, LLC 
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Dates
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    Enumeration Date     |    12/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    7 SWAYZE LN 
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    City                 |    CHESTER
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    State                |    NJ
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    Zip                  |    07930-2647
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    Country              |    US
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    Telephone            |    908-627-1379
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7 SWAYZE LN 
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    City                 |    CHESTER
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    State                |    NJ
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    Zip                  |    07930-2647
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    Country              |    US
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    Telephone            |    908-627-1379
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |    DR. ANGELO ANTONIO SICA 
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    Credential           |    MD
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    Telephone            |    908-627-1379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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