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General NPI Number Information
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NPI Number | 1417279639
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Entity Type | Organization
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Legal Business Name | KAM Y CHEUNG MD A PROFESSIONAL CORP
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 638 WEBSTER ST STE 328
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City | OAKLAND
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State | CA
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Zip | 94607-4126
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Country | US
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Telephone | 510-268-9888
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Fax | 510-268-9892
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Provider Business Mailing Address
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Address Line | 638 WEBSTER ST STE 328
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City | OAKLAND
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State | CA
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Zip | 94607-4126
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Country | US
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Telephone | 510-268-9888
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Fax | 510-268-9892
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAM YUEN CHEUNG
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Credential | M.D.
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Telephone | 510-268-9888
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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 | A49444
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License Number State | CA
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