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General NPI Number Information
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NPI Number | 1750842415
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Entity Type | Organization
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Legal Business Name | BRIAN H. CHEUNG, DDS, MD, PLLC
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 1331
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City | SEATTLE
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State | WA
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Zip | 98101-1743
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Country | US
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Telephone | 206-624-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 19623 30TH AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-1503
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Country | US
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Telephone | 206-412-8554
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BRIAN HIUFAI CHEUNG
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Credential | DDS, MD
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Telephone | 206-412-8554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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