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General NPI Number Information
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NPI Number | 1740787936
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Entity Type | Individual
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Provider Name | BRIAN CHEUNG MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 20900 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-1407
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Country | US
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Telephone | 305-682-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6095 N SABAL PALM BLVD APT 112
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City | TAMARAC
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State | FL
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Zip | 33319-2643
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Country | US
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Telephone | 954-673-4661
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME153308
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License Number State | FL
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