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General NPI Number Information
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NPI Number | 1184836645
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Entity Type | Individual
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Provider Name | CHRISTINE CHANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85013-4213
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Country | US
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Telephone | 602-277-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 1547 E EUGIE AVE
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City | PHOENIX
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State | AZ
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Zip | 85022-4954
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Country | US
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Telephone | 602-439-7111
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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 | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | 30761
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License Number State | AZ
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