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General NPI Number Information
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NPI Number | 1508450545
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Entity Type | Organization
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Legal Business Name | ROBERT NGHIA CHANG DDS PLLC
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 3315 BURKE RD STE 303
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City | PASADENA
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State | TX
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Zip | 77504-1825
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Country | US
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Telephone | 713-947-0293
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Fax |
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Provider Business Mailing Address
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Address Line | 3315 BURKE RD STE 303
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City | PASADENA
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State | TX
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Zip | 77504-1825
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Country | US
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Telephone | 713-947-0293
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT NGHIA CHANG
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Credential | DDS
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Telephone | 409-947-0293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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