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General NPI Number Information
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NPI Number | 1134603574
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Entity Type | Individual
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Provider Name | PANG Z CHANG APRN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1400 BELLINGER ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5222
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 1456 AMES AVE
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City | SAINT PAUL
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State | MN
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Zip | 55106-3517
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Country | US
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Telephone | 516-239-3188
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11003059
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 790501
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10967
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2253
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License Number State | MN
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