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General NPI Number Information
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NPI Number | 1659612398
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Entity Type | Organization
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Legal Business Name | PATRICIA CHANG, MD INC.
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1609
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-556-8899
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Fax | 310-553-2422
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 1609
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-556-8899
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Fax | 310-553-2422
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KRISTEN SMITH
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Credential |
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Telephone | 310-553-4982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G76535
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License Number State | CA
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