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General NPI Number Information
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NPI Number | 1336295468
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Entity Type | Individual
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Provider Name | TSERN HAE CHANG
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 835 N. BROADWAY
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City | LOS ANGELES
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State | CA
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Zip | 90012
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Country | US
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Telephone | 213-628-8333
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Fax | 213-628-9880
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Provider Business Mailing Address
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Address Line | 15468 ROJAS ST
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City | HACIENDA HTS
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State | CA
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Zip | 91745-5229
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Country | US
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Telephone | 626-855-0082
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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 | AC 5283
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License Number State | CA
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