{
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"EIN": null,
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"OrgName": "CHI L. CHENG, ET AL",
"LastName": null,
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"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "452 N LOS ROBLES AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PASADENA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91101-1302",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-449-1471",
"MailingAddressFaxNumber": "626-449-1472",
"FirstLinePracticeLocationAddress": "452 N LOS ROBLES AVE",
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"PracticeLocationAddressCityName": "PASADENA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-449-1471",
"PracticeLocationAddressFaxNumber": "626-449-1472",
"EnumerationDate": "08/29/2006",
"LastUpdateDate": "06/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHENG",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "PHARMACIST",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-449-1471",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "PHY36795",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}