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General NPI Number Information
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NPI Number | 1194969345
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Entity Type | Individual
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Provider Name | JULIE ANN CHANG CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | THE CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIAC DEPT 34TH STREET & CIVIC CENTER BOULEVARD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4399
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Country | US
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Telephone | 215-939-1473
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Fax | 215-590-5415
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Provider Business Mailing Address
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Address Line | 30 WOODENS LN
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City | LAMBERTVILLE
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State | NJ
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Zip | 08530-2603
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Country | US
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Telephone | 215-939-1473
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Fax | 636-212-8372
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP010244
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License Number State | PA
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