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General NPI Number Information
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NPI Number | 1558105734
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Entity Type | Organization
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Legal Business Name | MARK CHEUNG OD PC
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 12716 STOCKDALE HWY STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93314-3717
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Country | US
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Telephone | 661-206-2830
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Fax | 661-206-2850
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Provider Business Mailing Address
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Address Line | 12716 STOCKDALE HWY STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93314-3717
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Country | US
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Telephone | 661-206-2830
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Fax | 661-206-2850
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | DR. MARK CHEUNG
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Credential | OD
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Telephone | 661-206-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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