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General NPI Number Information
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NPI Number | 1619307592
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Entity Type | Organization
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Legal Business Name | JANICE Y.W. CHANG, PSY.D. INC.
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 1126 12TH AVE STE 201
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City | HONOLULU
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State | HI
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Zip | 96816-3715
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Country | US
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Telephone | 808-780-1382
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 LILIHA ST STE 202
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City | HONOLULU
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State | HI
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Zip | 96817-5409
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Country | US
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Telephone | 808-780-1382
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JANICE CHANG
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Credential | PSY.D.
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Telephone | 808-780-1382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY-1293
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License Number State | HI
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