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General NPI Number Information
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NPI Number | 1184659575
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Entity Type | Individual
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Provider Name | CHERYL CHANG MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 100 RIVERSIDE BLVD APT 8G
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City | NEW YORK
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State | NY
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Zip | 10069-0411
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Country | US
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Telephone | 212-241-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 1980 GALLOWS RD #300
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City | VIENNA
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State | VA
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Zip | 22182-3913
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 235035
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License Number State | NY
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