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General NPI Number Information
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NPI Number | 1225110968
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Entity Type | Individual
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Provider Name | JULIE C CHENG M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 15975 HARBOR BLVD
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1303
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Country | US
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Telephone | 714-546-6575
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Fax | 714-551-9411
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Provider Business Mailing Address
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Address Line | 2 OAKDALE
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City | IRVINE
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State | CA
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Zip | 92604-3221
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Country | US
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Telephone | 714-546-6575
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Fax | 714-551-9411
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A79108
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License Number State | CA
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