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General NPI Number Information
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NPI Number | 1003051665
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Entity Type | Individual
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Provider Name | JIHEE CHANG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 3226 UNION ST STE 1B
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City | FLUSHING
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State | NY
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Zip | 11354-3197
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Country | US
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Telephone | 917-563-1921
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Fax | 917-563-1905
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Provider Business Mailing Address
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Address Line | 3226 UNION ST STE 1B
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City | FLUSHING
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State | NY
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Zip | 11354-3197
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Country | US
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Telephone | 917-563-1921
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Fax | 917-563-1905
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 014663
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License Number State | NY
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