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General NPI Number Information
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NPI Number | 1154384311
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Entity Type | Individual
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Provider Name | RICHARD S. CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 344 18TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90402-2406
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Country | US
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Telephone | 310-260-8581
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Fax | 888-960-2154
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Provider Business Mailing Address
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Address Line | 13236 N 7TH ST STE 4 #504
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City | PHOENIX
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State | AZ
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Zip | 85022-5343
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Country | US
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Telephone | 623-296-2149
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A73466
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A73466
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License Number State | CA
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