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General NPI Number Information
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NPI Number | 1093903221
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Entity Type | Organization
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Legal Business Name | CHENG MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 12945 SARATOGA AVE
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City | SARATOGA
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State | CA
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Zip | 95070-4153
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Country | US
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Telephone | 408-255-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 12945 SARATOGA AVE
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City | SARATOGA
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State | CA
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Zip | 95070-4153
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Country | US
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Telephone | 408-255-3223
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELBERT T CHENG
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Credential | MD
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Telephone | 408-255-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | A63141
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License Number State | CA
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