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General NPI Number Information
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NPI Number | 1942403043
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Entity Type | Individual
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Provider Name | LAURIE LAI CHEUNG CDE
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 750 S BASCOM AVE DIABETES ED
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City | SAN JOSE
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State | CA
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Zip | 95128-2603
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Country | US
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Telephone | 408-885-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 18288 SAGE CT
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City | SARATOGA
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State | CA
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Zip | 95070-4500
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Country | US
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Telephone | 408-741-5510
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN308118
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License Number State | CA
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