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General NPI Number Information
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NPI Number | 1477563047
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Entity Type | Individual
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Provider Name | GORDON K I CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1700 SW 7TH ST
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City | TOPEKA
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State | KS
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Zip | 66606-2489
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Country | US
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Telephone | 785-295-8359
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Fax | 785-231-5988
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Provider Business Mailing Address
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Address Line | DEPT CH 14389
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City | PALATINE
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State | IL
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Zip | 60055-4389
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Country | US
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Telephone | 785-295-5307
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Fax | 785-270-7646
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 04-34753
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A31074
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License Number State | CA
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