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General NPI Number Information
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NPI Number | 1144100165
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Entity Type | Individual
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Provider Name | SAMANTHA L CHANG DMD
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2410 SAMPSON ST
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City | GREAT LAKES
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State | IL
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Zip | 60088-2942
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Country | US
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Telephone | 847-688-2469
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Fax |
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Provider Business Mailing Address
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Address Line | 398 OLD GILKESON RD
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City | PITTSBURGH
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State | PA
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Zip | 15228-1063
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Country | US
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Telephone | 412-867-7139
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.028141
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License Number State | OH
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