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General NPI Number Information
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NPI Number | 1912092990
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Entity Type | Organization
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Legal Business Name | DAVID S. CHENG, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 39275 MISSION BLVD 203
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City | FREMONT
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State | CA
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Zip | 94539-3061
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Country | US
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Telephone | 510-791-1115
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Fax | 510-791-6245
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Provider Business Mailing Address
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Address Line | 39275 MISSION BLVD 203
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City | FREMONT
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State | CA
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Zip | 94539-3061
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Country | US
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Telephone | 510-791-1115
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Fax | 510-791-6245
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID S CHENG
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Credential | M.D
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Telephone | 510-791-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G247210
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License Number State | CA
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