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General NPI Number Information
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NPI Number | 1215460712
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Entity Type | Individual
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Provider Name | ELBERT CHANG D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 8077 FLORENCE AVE
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City | DOWNEY
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State | CA
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Zip | 90240-3826
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Country | US
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Telephone | 562-904-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 8077 FLORENCE AVE
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City | DOWNEY
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State | CA
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Zip | 90240-3826
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Country | US
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Telephone | 562-904-6031
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 67503
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A20268
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License Number State | CA
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