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General NPI Number Information
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NPI Number | 1619471893
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Entity Type | Individual
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Provider Name | LAWRENCE CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 550 16TH ST BOX 0649
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2545
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Country | US
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Telephone | 415-613-3901
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Fax |
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Provider Business Mailing Address
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Address Line | 550 16TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2549
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Country | US
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Telephone | 415-353-1238
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Fax | 415-353-1799
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 287301
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A196458
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | A196458
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License Number State | CA
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