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General NPI Number Information
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NPI Number | 1508358755
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Entity Type | Individual
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Provider Name | XIAN CHEUNG DO
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Gender | Male
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 14218 38TH AVE # 1C
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City | FLUSHING
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State | NY
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Zip | 11354-5654
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Country | US
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Telephone | 718-888-1722
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Fax | 718-888-1793
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Provider Business Mailing Address
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Address Line | 14218 38TH AVE # 1C
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City | FLUSHING
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State | NY
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Zip | 11354-5654
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Country | US
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Telephone | 718-888-1722
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Fax | 718-888-1793
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT018505
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | O020855
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 307925-01
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License Number State | NY
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