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General NPI Number Information
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NPI Number | 1447267141
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Entity Type | Organization
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Legal Business Name | WUN-LING CHANG, M.D., INC.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 9888 GENESEE AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-1205
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Country | US
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Telephone | 858-202-1736
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Fax | 858-202-1796
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Provider Business Mailing Address
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Address Line | 3525 DEL MAR HEIGHTS RD # 453
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City | SAN DIEGO
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State | CA
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Zip | 92130-2122
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Country | US
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Telephone | 858-202-1736
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Fax | 858-202-1796
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Authorized Official
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Title or Position | PRESIDENT
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Name | WUN-LING CHANG
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Credential | M.D.
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Telephone | 858-202-1736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G86459
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License Number State | CA
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