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General NPI Number Information
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NPI Number | 1609137710
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Entity Type | Organization
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Legal Business Name | MABEL M.P. CHENG MD PLLC
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 3140 TROY SCHENECTADY RD
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City | NISKAYUNA
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State | NY
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Zip | 12309-1719
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Country | US
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Telephone | 518-782-7777
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Fax | 518-782-4913
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Provider Business Mailing Address
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Address Line | 3140 TROY SCHENECTADY RD
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City | NISKAYUNA
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State | NY
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Zip | 12309-1719
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Country | US
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Telephone | 518-782-7777
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Fax | 518-782-4913
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Authorized Official
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Title or Position | OWNER
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Name | DR. MABEL CHENG
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Credential | M.D.
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Telephone | 518-782-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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