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General NPI Number Information
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NPI Number | 1003310434
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Entity Type | Individual
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Provider Name | CHENG-HUNG TAI
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Gender | Male
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 15 VALLEY DR FL 3
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City | GREENWICH
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State | CT
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Zip | 06831-5205
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Country | US
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Telephone | 917-497-7661
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E 77TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 68743
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License Number State | CT
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