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General NPI Number Information
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NPI Number | 1508021544
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Entity Type | Individual
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Provider Name | JEDSIAN CHENG M.D./M.P.H
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Gender | Male
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1554
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City | HOUSTON
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State | TX
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Zip | 77030-2714
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Country | US
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Telephone | 713-796-1500
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Fax | 832-649-3298
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST STE 1554
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City | HOUSTON
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State | TX
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Zip | 77030-2714
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Country | US
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Telephone | 713-796-1500
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Fax | 832-649-3298
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 255303
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | R8169
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036144098
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License Number State | IL
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