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General NPI Number Information
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NPI Number | 1366876310
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Entity Type | Individual
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Provider Name | HAIYING CHENG O.D
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Gender | Female
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 10475 MEDLOCK BRIDGE RD STE 104
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4434
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Country | US
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Telephone | 404-293-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 10475 MEDLOCK BRIDGE RD STE 104
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4434
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Country | US
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Telephone | 404-293-5990
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Fax | 678-482-0876
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPT002778
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OPT002778
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002778
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License Number State | GA
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