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General NPI Number Information
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NPI Number | 1841666773
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Entity Type | Individual
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Provider Name | AMY CHENG
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Gender | Female
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 3307 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5101
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Country | US
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Telephone | 215-707-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5101
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Country | US
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Telephone | 215-707-6980
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56706
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP448669
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License Number State | PA
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