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General NPI Number Information
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NPI Number | 1194834739
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Entity Type | Organization
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Legal Business Name | CHI L. CHENG, ET AL
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 452 N LOS ROBLES AVE
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City | PASADENA
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State | CA
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Zip | 91101-1302
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Country | US
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Telephone | 626-449-1471
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Fax | 626-449-1472
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Provider Business Mailing Address
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Address Line | 452 N LOS ROBLES AVE
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City | PASADENA
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State | CA
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Zip | 91101-1302
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Country | US
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Telephone | 626-449-1471
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Fax | 626-449-1472
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. DONNA K CHENG
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Credential |
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Telephone | 626-449-1471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY36795
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License Number State | CA
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