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NPI 1194740480

NPI 1194740480 : BONNIE W. CHEUNG MD : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1194740480
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    Entity Type          |    Individual 
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    Provider Name        |    BONNIE W. CHEUNG MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    02/25/2025
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Provider Practice Location Address
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    Address Line         |    10 CONGRESS ST SUITE 511
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91105-3045
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    Country              |    US
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    Telephone            |    626-796-0360
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    436 ADRIAN CT 
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    City                 |    CLAREMONT
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    State                |    CA
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    Zip                  |    91711-1601
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    Country              |    US
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    Telephone            |    216-337-3670
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    A76760
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    35-084868
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    117963
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    License Number State |    MT
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Taxonomy #4
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    A76760
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    2023014725
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    License Number State |    MO
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Taxonomy #6
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    U6462
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    License Number State |    TX
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