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General NPI Number Information
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NPI Number | 1437181807
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Entity Type | Individual
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Provider Name | CRAIG K. CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 13652 CANTARA ST CMO 101
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-4100
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Fax | 818-375-3668
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Provider Business Mailing Address
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Address Line | 13652 CANTARA ST CMO 101
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 818-375-4100
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Fax | 818-375-3668
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101239599
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A105332
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License Number State | CA
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