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General NPI Number Information
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NPI Number | 1184790057
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Entity Type | Organization
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Legal Business Name | T.CHANG&C.LEE DMD PC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 KINGS HIGHWAY
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City | NEW BEDFORD
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State | MA
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Zip | 02745
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Country | US
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Telephone | 508-995-9493
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Fax | 508-995-9932
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Provider Business Mailing Address
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Address Line | 500 KINGS HIGHWAY
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City | NEW BEDFORD
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State | MA
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Zip | 02745
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Country | US
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Telephone | 508-995-9493
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Fax | 508-995-9932
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS Y CHANG
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Credential | DMD
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Telephone | 508-995-9493
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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 |
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License Number State |
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