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General NPI Number Information
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NPI Number | 1215763107
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Entity Type | Individual
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Provider Name | I YEN CHENG
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Gender | Male
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE 3L
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City | FLUSHING
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State | NY
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Zip | 11354-5670
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Country | US
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Telephone | 718-939-5213
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Fax | 718-939-8949
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Provider Business Mailing Address
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Address Line | 19930 21ST AVE # 1
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City | WHITESTONE
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State | NY
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Zip | 11357-4120
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Country | US
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Telephone | 702-844-9716
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 311955
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License Number State | NY
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