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General NPI Number Information
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NPI Number | 1912796319
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Entity Type | Individual
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Provider Name | KIMBERLEY ANN LAM TIN CHEUNG MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE STE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4659
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Country | US
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Telephone | 407-303-5947
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Fax |
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Provider Business Mailing Address
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Address Line | 210 VICTORIA ST APT 3808
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City | TORONTO
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State | ONTARIO
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Zip | M5B 2R3
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Country | CA
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TRN41940
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License Number State | FL
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