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General NPI Number Information
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NPI Number | 1003417817
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Entity Type | Organization
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Legal Business Name | BRYANT HEALTH CORP
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 7288 EVANS MILL RD
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City | MC LEAN
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State | VA
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Zip | 22101-3424
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Country | US
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Telephone | 703-828-7623
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Fax | 604-259-2877
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Provider Business Mailing Address
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Address Line | PO BOX 1758
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City | NEW YORK
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State | NY
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Zip | 10021-0047
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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 | CO- FOUNDER/CEO
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Name | DR. CHRISTOPHER L CHANG
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Credential | MD
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Telephone | 703-828-7623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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