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General NPI Number Information
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NPI Number | 1144981275
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Entity Type | Individual
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Provider Name | CHANGCHANG ZHANG DPT
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Gender | Female
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 4960 VERDUGO WAY
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City | CAMARILLO
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State | CA
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Zip | 93012-8632
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Country | US
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Telephone | 805-222-4731
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1015
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City | FRANKLIN
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State | TN
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Zip | 37065-1015
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Country | US
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Telephone | 805-765-4773
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Fax | 805-392-9975
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT300751
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License Number State | CA
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