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General NPI Number Information
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NPI Number | 1972007458
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Entity Type | Individual
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Provider Name | OLIVIA CHENG
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | EMORY UNIVERSITY 1365 CLIFTON ROAD CLINIC BLDG C
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City | ATLANTA
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State | GA
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Zip | 30322-3609
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Country | US
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Telephone | 404-778-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 CLIFTON RD NE BLDG C
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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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 | 96220
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 328924
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 328924
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License Number State | NY
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