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General NPI Number Information
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NPI Number | 1164862728
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Entity Type | Individual
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Provider Name | NICOLE CHEUNG DO
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 9810 LAS TUNAS DR
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2208
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Country | US
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Telephone | 626-309-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 959 E WALNUT ST STE 122
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City | PASADENA
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State | CA
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Zip | 91106-1451
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Country | US
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Telephone | 626-765-4182
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A13688
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License Number State | CA
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