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General NPI Number Information
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NPI Number | 1427207216
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Entity Type | Individual
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Provider Name | ERIC CHANG O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 22530 SE 64TH PL STE 140
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City | ISSAQUAH
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State | WA
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Zip | 98027-5353
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Country | US
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Telephone | 425-392-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 5702 145TH AVE. SE
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City | BELLEVUE
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State | WA
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Zip | 98015-3083
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Country | US
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Telephone | 206-265-2785
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD 60035981
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License Number State | WA
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