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General NPI Number Information
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NPI Number | 1629861471
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Entity Type | Organization
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Legal Business Name | NEUROLOGY SPECIALTY
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 1940 116TH AVE NE STE 200
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City | BELLEVUE
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State | WA
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Zip | 98004-3074
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Country | US
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Telephone | 425-298-5176
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Fax | 206-899-1299
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Provider Business Mailing Address
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Address Line | 710 S 348TH ST STE B
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City | FEDERAL WAY
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State | WA
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Zip | 98003-7042
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Country | US
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Telephone | 425-298-5176
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Fax | 206-899-1299
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHRISTOPHER CHENG
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Credential | MD
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Telephone | 425-298-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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Taxonomy #2
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Taxonomy Code | 2084B0002X
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Taxonomy Name | Obesity Medicine (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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Taxonomy #5
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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Taxonomy #6
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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Taxonomy #8
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #9
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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Taxonomy #10
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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Taxonomy #11
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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Taxonomy #12
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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Taxonomy #13
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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Taxonomy #14
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Taxonomy Code | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #15
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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