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NPI 1124907696

NPI 1124907696 : YU-CHEN CHENG : LOMA LINDA, CA

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General NPI Number Information
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    NPI Number           |    1124907696
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    Entity Type          |    Individual 
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    Provider Name        |    YU-CHEN CHENG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2025
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    11092 ANDERSON ST 
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    City                 |    LOMA LINDA
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    State                |    CA
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    Zip                  |    92350-1706
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    Country              |    US
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    Telephone            |    909-558-4222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 E SOUTH AVE 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-7149
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    Country              |    US
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    Telephone            |    909-735-2058
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    SP329
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    License Number State |    CA
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