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General NPI Number Information
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NPI Number | 1003020637
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Entity Type | Individual
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Provider Name | ARTHUR CHUNG-LIUNG CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 11201 BENTON ST VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
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City | LOMA LINDA
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State | CA
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Zip | 92357-1000
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 BENTON ST VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
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City | LOMA LINDA
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State | CA
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Zip | 92357-1000
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Country | US
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Telephone | 909-825-7084
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A89309
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 234684
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License Number State | MA
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