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General NPI Number Information
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NPI Number | 1487678769
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Entity Type | Individual
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Provider Name | DAVID CHI CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3025 W CHERRY LN STE 204
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City | MERIDIAN
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State | ID
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Zip | 83642-8530
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Country | US
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Telephone | 208-302-3300
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Fax | 208-302-3355
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Provider Business Mailing Address
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Address Line | PO BOX 190930
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City | BOISE
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State | ID
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Zip | 83719-0930
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Country | US
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Telephone | 208-367-5170
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Fax | 208-367-5180
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD218160
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 2671566
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD00046930
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License Number State | WA
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