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General NPI Number Information
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NPI Number | 1851659221
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Entity Type | Individual
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Provider Name | ANDY CHENG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 1708 YAKIMA AVE STE 205
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City | TACOMA
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State | WA
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Zip | 98405-5300
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Country | US
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Telephone | 253-565-6777
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Fax | 360-377-1558
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Provider Business Mailing Address
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Address Line | 1708 YAKIMA AVE STE 205
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City | TACOMA
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State | WA
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Zip | 98405-5300
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Country | US
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Telephone | 253-565-6777
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Fax | 360-377-1558
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 64115-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD60717039
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License Number State | WA
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