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General NPI Number Information
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NPI Number | 1295473254
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Entity Type | Individual
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Provider Name | LAWRENCE CHANG DPM
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Gender | Male
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1700 ADAMS AVE STE 204
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City | COSTA MESA
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State | CA
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Zip | 92626-4865
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Country | US
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Telephone | 714-434-1776
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Fax | 714-434-1293
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Provider Business Mailing Address
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Address Line | 110 NEW STINE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2605
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Country | US
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Telephone | 661-832-1667
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Fax | 661-832-7145
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E6162
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License Number State | CA
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