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General NPI Number Information
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NPI Number | 1245225341
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Entity Type | Individual
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Provider Name | CHUAN CHANG MD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 185 CANAL ST STE. 501
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City | NEW YORK
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State | NY
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Zip | 10013-4537
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Country | US
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Telephone | 212-226-8819
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Fax | 212-226-2199
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Provider Business Mailing Address
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Address Line | 185 CANAL ST STE. 501
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City | NEW YORK
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State | NY
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Zip | 10013-4537
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Country | US
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Telephone | 212-226-8819
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Fax | 212-226-2199
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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 | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number | 218052
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 218052
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License Number State | NY
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