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General NPI Number Information
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NPI Number | 1023091972
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Entity Type | Individual
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Provider Name | ALEX CUA CHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 3700 PARK EAST DRIVE SUITE 300
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City | BEACHWOOD
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State | OH
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Zip | 44122-4399
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Country | US
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Telephone | 855-292-1401
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Fax | 866-396-8340
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Provider Business Mailing Address
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Address Line | 3700 PARK EAST DRIVE SUITE 300
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City | BEACHWOOD
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State | OH
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Zip | 44122-4399
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Country | US
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Telephone | 855-292-1401
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Fax | 866-396-8340
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 23222
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 169226
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License Number State | NY
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