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General NPI Number Information
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NPI Number | 1255713533
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Entity Type | Individual
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Provider Name | GEORGE CHIAO-TUNG CHANG
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Gender | Male
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 3120 S HACIENDA BLVD STE 201A
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6305
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Country | US
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Telephone | 626-400-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 17936 CALLE SILVOSA
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2516
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Country | US
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Telephone | 626-673-3703
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16502
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License Number State | CA
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