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General NPI Number Information
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NPI Number | 1235892407
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Entity Type | Individual
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Provider Name | ALEXANDER GEORGE CHANG DPT
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Gender | Male
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 711 W 17TH ST STE C9
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City | COSTA MESA
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State | CA
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Zip | 92627-4343
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Country | US
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Telephone | 949-529-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 21906 PIONEER BLVD
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City | HAWAIIAN GARDENS
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State | CA
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Zip | 90716-1239
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Country | US
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Telephone | 626-298-5437
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Fax | 562-431-4854
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT301008
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License Number State | CA
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