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General NPI Number Information
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NPI Number | 1235137514
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Entity Type | Individual
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Provider Name | HAO CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25 OAKFORD AVE
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City | RICHWOOD
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State | WV
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Zip | 26261-1150
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Country | US
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Telephone | 304-846-2608
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Fax | 304-846-2608
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Provider Business Mailing Address
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Address Line | 25 OAKFORD AVE
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City | RICHWOOD
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State | WV
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Zip | 26261-1150
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Country | US
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Telephone | 304-846-2608
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Fax | 304-846-2608
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 9980
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License Number State | WV
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