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General NPI Number Information
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NPI Number | 1205581097
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Entity Type | Organization
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Legal Business Name | LIU CHANG OAK FAMILY CHIROPRACTIC AND WELLNESS INC
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Dates
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Enumeration Date | 02/20/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 5335 COLLEGE AVE STE 25A
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City | OAKLAND
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State | CA
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Zip | 94618-2804
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Country | US
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Telephone | 408-863-2928
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 COLLEGE AVE STE 25A
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City | OAKLAND
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State | CA
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Zip | 94618-2804
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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 | DOCTOR OF CHIROPRACTIC
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Name | LEANA LIU CHANG
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Credential |
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Telephone | 510-761-1870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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