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General NPI Number Information
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NPI Number | 1285645440
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Entity Type | Individual
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Provider Name | IRA CHANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 499 E HAMPDEN AVE SUITE 360
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-781-4485
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Fax | 720-274-0064
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Provider Business Mailing Address
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Address Line | 499 E HAMPDEN AVE SUITE 360
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-781-4485
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Fax | 720-274-0064
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 32701
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | DR.0032701
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License Number State | CO
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