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General NPI Number Information
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NPI Number | 1265757348
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Entity Type | Individual
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Provider Name | VEA CHENG RPH
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Gender | Male
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 1430 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10018-3308
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Country | US
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Telephone | 212-768-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 1642 BATH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-4584
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 046822
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License Number State | NY
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