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NPI 1669675179

NPI 1669675179 : MICHAEL J CHICK MS. SLP : EASTCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1669675179
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL J CHICK MS. SLP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/11/2007
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    550 WHITE PLAINS RD 
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    City                 |    EASTCHESTER
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    State                |    NY
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    Zip                  |    10709-5506
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    Country              |    US
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    Telephone            |    914-793-6130
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 BEACON HILL DR APT 1C 
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    City                 |    DOBBS FERRY
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    State                |    NY
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    Zip                  |    10522-7021
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    Country              |    US
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    Telephone            |    914-703-2595
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    003467
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    014368-1
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    License Number State |    NY
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