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General NPI Number Information
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NPI Number | 1295007599
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Entity Type | Organization
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Legal Business Name | DR CHRISTINA R CHANG & ASSOCIATES, OD, PA
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 3608 PRESTON RD SUITE 148
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City | PLANO
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State | TX
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Zip | 75093-8655
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Country | US
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Telephone | 972-596-2896
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Fax |
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Provider Business Mailing Address
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Address Line | 3608 PRESTON RD SUITE 148
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City | PLANO
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State | TX
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Zip | 75093-8655
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Country | US
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Telephone | 972-596-2896
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINA R CHANG
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Credential | OD
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Telephone | 972-596-2896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5063TG
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License Number State | TX
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