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General NPI Number Information
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NPI Number | 1538869029
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Entity Type | Individual
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Provider Name | BRIAN WEN CHANG DMD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2690 KINGSTON RD
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City | EASTON
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State | PA
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Zip | 18045-8001
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Country | US
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Telephone | 610-810-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 27 S 3RD ST APT 326
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City | EASTON
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State | PA
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Zip | 18042-4558
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Country | US
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Telephone | 734-223-7983
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027456
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS044523
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License Number State | PA
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