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General NPI Number Information
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NPI Number | 1053537399
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Entity Type | Individual
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Provider Name | JAMES H CHANG L.A.C
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 160 TICES LN FL 1
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2016
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Country | US
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Telephone | 732-424-8203
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Fax | 609-426-8655
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Provider Business Mailing Address
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Address Line | 79 EISTEIN WAY
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City | CRANBURY
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State | NJ
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Zip | 08512
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Country | US
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Telephone | 732-424-8203
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Fax | 609-426-8655
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00050700
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License Number State | NJ
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