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General NPI Number Information
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NPI Number | 1154707693
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Entity Type | Individual
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Provider Name | JUDY CHENG M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 3233 SW 33RD ROAD SUITE 101
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-237-2322
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Fax | 352-237-2456
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Provider Business Mailing Address
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Address Line | 3233 SW 33RD ROAD SUITE 101
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-237-2322
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Fax | 352-237-2456
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036152092
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 267330
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME115587
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License Number State | FL
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