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General NPI Number Information
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NPI Number | 1154201895
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Entity Type | Organization
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Legal Business Name | SHU MEI JESSIE CHANG DDS MS PLLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1776 LANCASTER AVE STE 15
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City | PAOLI
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State | PA
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Zip | 19301-1550
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Country | US
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Telephone | 610-904-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 LANCASTER AVE STE 15
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City | PAOLI
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State | PA
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Zip | 19301-1550
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Country | US
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Telephone | 610-904-9005
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Fax |
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Authorized Official
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Title or Position | OWNDER
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Name | SHU MEI JESSIE CHANG
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Credential | DDS MS
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Telephone | 415-810-5318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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