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General NPI Number Information
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NPI Number | 1346009552
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Entity Type | Organization
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Legal Business Name | ALEX CHEAH, MD PC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 1330 SAN BERNARDINO RD STE C
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City | UPLAND
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State | CA
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Zip | 91786-4980
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Country | US
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Telephone | 909-981-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD UNIT 3360
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone | 626-329-1058
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ALEXANDER CHEAH
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Credential | MD
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Telephone | 909-981-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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