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NPI 1417931742

NPI 1417931742 : ANGELA K. CHENG D.P.M. : EAST ORANGE, NJ

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General NPI Number Information
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    NPI Number           |    1417931742
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA K. CHENG D.P.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/30/2005
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    Last Update Date     |    09/05/2024
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Provider Practice Location Address
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    Address Line         |    310 CENTRAL AVE STE 303 
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    City                 |    EAST ORANGE
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    State                |    NJ
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    Zip                  |    07018-2838
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    Country              |    US
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    Telephone            |    973-337-2893
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    Fax                  |    201-228-1689
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Provider Business Mailing Address
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    Address Line         |    310 CENTRAL AVE STE 303 
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    City                 |    EAST ORANGE
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    State                |    NJ
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    Zip                  |    07018-2838
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    Country              |    US
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    Telephone            |    973-337-2893
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    Fax                  |    201-228-1689
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    N006065-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    25MD00285600
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    License Number State |    NJ
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