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General NPI Number Information
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NPI Number | 1972657955
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Entity Type | Individual
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Provider Name | AMY S. CHENG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 240 BRADLEY ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-1108
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Country | US
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Telephone | 203-641-0038
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Fax | 203-773-1271
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Provider Business Mailing Address
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Address Line | 20 WOODBINE ST
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City | HAMDEN
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State | CT
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Zip | 06517-2025
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Country | US
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Telephone | 203-668-9523
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002751
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License Number State | CT
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