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General NPI Number Information
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NPI Number | 1629141536
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Entity Type | Organization
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Legal Business Name | CATHAY MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 5300 SPRING MOUNTAIN RD SUITE 112
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City | LAS VEGAS
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State | NV
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Zip | 89146-8718
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Country | US
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Telephone | 702-362-6373
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Fax | 702-362-6420
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Provider Business Mailing Address
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Address Line | 5300 SPRING MOUNTAIN RD SUITE 112
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City | LAS VEGAS
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State | NV
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Zip | 89146-8718
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Country | US
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Telephone | 702-362-6373
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Fax | 702-362-6420
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | DR. TENG C ONG
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Credential | M.D.
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Telephone | 702-362-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5506
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License Number State | NV
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