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General NPI Number Information
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NPI Number | 1912108754
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Entity Type | Individual
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Provider Name | ALEXANDER T CHEUNG M.D
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 1019 W. LA PALMA AVE. STE A
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-956-5200
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Fax | 714-956-4614
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Provider Business Mailing Address
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Address Line | 1019 W. LA PALMA AVE. STE A
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City | ANAHEIM
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State | CA
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Zip | 92801
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Country | US
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Telephone | 714-956-5200
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Fax | 714-956-4614
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10022690
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A117166
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License Number State | CA
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