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General NPI Number Information
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NPI Number | 1114339843
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Entity Type | Individual
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Provider Name | RAY CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 5520 BRIDGEPORT WAY W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-2041
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Country | US
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Telephone | 346-291-4512
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Fax | 949-288-0297
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Provider Business Mailing Address
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Address Line | PO BOX 22239
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City | NEW YORK
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State | NY
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Zip | 10087-0001
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Country | US
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Telephone | 346-291-4512
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Fax | 949-288-0297
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD61348477
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License Number State | WA
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