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General NPI Number Information
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NPI Number | 1063565497
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Entity Type | Individual
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Provider Name | DAVID LEE-HUN CHANG O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 1848 SARATOGA AVENUE BUILDING 5/ SUITE 5A
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City | SARATOGA
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State | CA
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Zip | 95070
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Country | US
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Telephone | 408-871-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1848 SARATOGA AVE BUILDING 5 / SUITE5A
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City | SARATOGA
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State | CA
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Zip | 95070-6612
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Country | US
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Telephone | 408-871-6800
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Fax | 408-871-6866
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT 10836 TPL
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License Number State | CA
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