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General NPI Number Information
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NPI Number | 1144013434
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Entity Type | Individual
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Provider Name | JEFFERY CHE-WEI CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 866-486-1393
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 HUDSON AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2901
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Country | US
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Telephone | 857-265-0852
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | P134798
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License Number State | NY
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