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General NPI Number Information
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NPI Number | 1154984474
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Entity Type | Individual
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Provider Name | PRISCILLA CHENG DDS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 30 E 40TH ST RM 602
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City | NEW YORK
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State | NY
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Zip | 10016-1243
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Country | US
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Telephone | 646-687-7898
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Fax | 646-650-2700
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Provider Business Mailing Address
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Address Line | 8511 60TH RD
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-5408
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Country | US
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Telephone | 917-806-6087
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 061185
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License Number State | NY
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