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General NPI Number Information
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NPI Number | 1265841241
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Entity Type | Individual
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Provider Name | ELIZABETH CHANG MS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 10212 5TH AVE NE STE 225
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City | SEATTLE
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State | WA
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Zip | 98125-7495
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Country | US
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Telephone | 929-352-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 10212 5TH AVE NE STE 225
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City | SEATTLE
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State | WA
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Zip | 98125-7495
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Country | US
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Telephone | 929-352-4838
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001420
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF6102898
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License Number State | WA
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