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General NPI Number Information
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NPI Number | 1114187549
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Entity Type | Individual
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Provider Name | CHANG XIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 5308 HARROUN RD SUITE 055
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City | SYLVANIA
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State | OH
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Zip | 43560-2193
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Country | US
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Telephone | 419-824-6599
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Fax | 419-882-3870
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Provider Business Mailing Address
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Address Line | 5308 HARROUN RD SUITE 055
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City | SYLVANIA
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State | OH
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Zip | 43560-2193
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Country | US
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Telephone | 419-824-6599
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Fax | 419-882-3870
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35123481
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License Number State | OH
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