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General NPI Number Information
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NPI Number | 1346460573
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Entity Type | Organization
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Legal Business Name | CHEETHAM & LUI PC
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9162 ESTATE THOMAS BAY 10
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City | ST THOMAS
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State | VI
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Zip | 00802-2687
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Country | US
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Telephone | 340-774-1080
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Fax | 340-774-9842
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Provider Business Mailing Address
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Address Line | 9162 ESTATE THOMAS BAY 10
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City | ST THOMAS
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State | VI
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Zip | 00802-2687
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Country | US
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Telephone | 340-774-1080
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Fax | 340-774-9842
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. ANGELA W LUI
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Credential | MD
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Telephone | 340-774-1080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 848
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License Number State | VI
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