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General NPI Number Information
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NPI Number | 1225012909
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Entity Type | Individual
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Provider Name | EUGENE Y CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 2006 HEALTH CAMPUS DR STE 200
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City | ROCKINGHAM
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State | VA
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Zip | 22801-8679
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Country | US
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Telephone | 540-689-5800
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Fax | 757-579-8580
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Provider Business Mailing Address
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Address Line | 5838 HARBOUR VIEW BLVD SUITE 240
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City | SUFFOLK
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State | VA
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Zip | 23435-2663
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Country | US
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Telephone | 757-541-1950
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Fax | 757-541-1987
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101230703
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 0101230703
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License Number State | VA
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