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General NPI Number Information
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NPI Number | 1548946353
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Entity Type | Organization
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Legal Business Name | NICOLE CHEUNG, D.O., INC.
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 1021 E WALNUT ST STE 100
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City | PASADENA
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State | CA
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Zip | 91106-1478
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Country | US
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Telephone | 626-765-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 959 E WALNUT ST STE 122
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City | PASADENA
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State | CA
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Zip | 91106-1451
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Country | US
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Telephone | 626-765-4182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE CHEUNG
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Credential | DO
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Telephone | 626-765-4182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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