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General NPI Number Information
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NPI Number | 1477069284
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Entity Type | Individual
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Provider Name | CHRISTINE JINGWEN CHANG APRN, NP-C, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2017
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 545 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6401
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Country | US
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Telephone | 212-263-6696
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Fax | 646-754-7057
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Provider Business Mailing Address
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Address Line | 696 FRICK ST
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City | ELMONT
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State | NY
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Zip | 11003-4135
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Country | US
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Telephone | 917-355-6554
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10170968
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License Number State | NY
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