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General NPI Number Information
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NPI Number | 1770280844
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Entity Type | Organization
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Legal Business Name | 2ND CHANCE NP IN PSYCHIATRY PC
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 203
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 347-530-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 230 HILTON AVE STE 203
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 347-530-7373
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHIEDOZIE C CHIGEWE
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Credential | NP
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Telephone | 551-275-5674
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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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