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General NPI Number Information
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NPI Number | 1205099124
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Entity Type | Individual
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Provider Name | KATHERINE LOREE CHENG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 4494 PALMER RD N
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 310-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 ARLINGTON BLVD STE 5113
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City | FALLS CHURCH
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State | VA
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Zip | 22042-5190
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Country | US
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Telephone | 217-836-2118
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019-027710
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 319.016602
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License Number State | IL
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