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General NPI Number Information
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NPI Number | 1134139306
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Entity Type | Organization
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Legal Business Name | ROLANDO CHENG MD PSC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E STE G2
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City | CYNTHIANA
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State | KY
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Zip | 41031-7490
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Country | US
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Telephone | 859-987-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 KY HIGHWAY 36 E STE G2
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City | CYNTHIANA
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State | KY
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Zip | 41031-7490
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Country | US
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Telephone | 859-987-7112
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROLANDO CHENG
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Credential | MD
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Telephone | 859-235-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21326
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License Number State | KY
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