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General NPI Number Information
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NPI Number | 1649345166
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Entity Type | Individual
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Provider Name | DIANA CHENG M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 04/08/2012
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Provider Practice Location Address
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Address Line | 201 W PRESTON ST ROOM 313
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City | BALTIMORE
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State | MD
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Zip | 21201-2301
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Country | US
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Telephone | 410-767-6719
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Fax | 410-333-5233
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Provider Business Mailing Address
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Address Line | 20 AIGBURTH RD
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City | TOWSON
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State | MD
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Zip | 21286-1105
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Country | US
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Telephone | 410-767-6719
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Fax | 410-333-5233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D36093
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License Number State | MD
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