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General NPI Number Information
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NPI Number | 1518039411
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Entity Type | Individual
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Provider Name | CHEVVY CW CHEUNG MSW, PSYD.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 11949 JEFFERSON BLVD STE 102
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City | CULVER CITY
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State | CA
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Zip | 90230-6336
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Country | US
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Telephone | 657-345-4681
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Fax |
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Provider Business Mailing Address
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Address Line | 10866 WASHINGTON BLVD # 1239
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City | CULVER CITY
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State | CA
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Zip | 90232-3610
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Country | US
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Telephone | 657-345-4681
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116896
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License Number State | CA
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