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General NPI Number Information
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NPI Number | 1144558362
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Entity Type | Organization
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Legal Business Name | CHEUNG DPM INC.
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Dates
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Enumeration Date | 11/29/2009
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 210 S GRAND AVE SUITE 320
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City | GLENDORA
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State | CA
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Zip | 91741-4205
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Country | US
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Telephone | 626-375-2374
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4564
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-4564
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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 | PRESIDENT
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Name | DR. STEVEN CHEUNG
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Credential |
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Telephone | 626-375-2374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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