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General NPI Number Information
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NPI Number | 1427682764
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Entity Type | Organization
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Legal Business Name | ANGELA A CHANG MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 9834 GENESEE AVE STE 112
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City | LA JOLLA
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State | CA
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Zip | 92037-1214
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Country | US
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Telephone | 858-208-0030
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Fax | 858-216-1990
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Provider Business Mailing Address
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Address Line | 13282 COURTLAND TER
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City | SAN DIEGO
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State | CA
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Zip | 92130-1823
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Country | US
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Telephone | 619-947-5555
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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. ANGELA CHANG
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Credential | MD
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Telephone | 619-947-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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