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General NPI Number Information
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NPI Number | 1992969422
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Entity Type | Organization
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Legal Business Name | CHUNG-E TSENG, LLC
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 13347 SANFORD AVE 1E
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-539-5555
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Fax | 718-539-9113
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Provider Business Mailing Address
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Address Line | 13347 SANFORD AVE 1E
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-539-5555
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Fax | 718-539-9113
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHUNG-E TSENG
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Credential | M.D.
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Telephone | 718-539-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 190999
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License Number State | NY
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