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General NPI Number Information
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NPI Number | 1518811447
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Entity Type | Organization
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Legal Business Name | BRIAN H. CHEUNG, DDS, MD, PLLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 18209 STATE ROUTE 410 E STE 210
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City | BONNEY LAKE
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State | WA
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Zip | 98391-5146
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Country | US
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Telephone | 253-338-4188
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Fax | 253-338-4189
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Provider Business Mailing Address
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Address Line | 18209 STATE ROUTE 410 E STE 210
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City | BONNEY LAKE
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State | WA
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Zip | 98391-5146
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Country | US
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Telephone | 253-338-4188
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Fax | 253-338-4189
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JENN HERITAGE
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Credential |
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Telephone | 402-805-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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