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General NPI Number Information
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NPI Number | 1467678540
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Entity Type | Organization
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Legal Business Name | TA CHENG CHANG'S INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 11253 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-5554
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Country | US
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Telephone | 718-575-9482
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Fax |
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Provider Business Mailing Address
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Address Line | 11253 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-5554
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Country | US
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Telephone | 718-575-9482
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MR. MIN CHIEN CHANG
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Credential |
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Telephone | 718-575-9482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019631
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License Number State | NY
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