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General NPI Number Information
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NPI Number | 1548984545
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Entity Type | Individual
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Provider Name | WAN-TING CHANG
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 535 BROADHOLLOW RD STE B12
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City | MELVILLE
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State | NY
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Zip | 11747-3701
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Country | US
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Telephone | 631-390-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 14125 NORTHERN BLVD APT C18
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City | FLUSHING
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State | NY
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Zip | 11354-4206
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Country | US
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Telephone | 917-293-1325
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 032654
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3080220
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License Number State | NY
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