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General NPI Number Information
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NPI Number | 1699939140
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Entity Type | Individual
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Provider Name | ELIZABETH CHANG NP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 300 SKILLMAN AVE 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11211-1607
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Country | US
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Telephone | 718-302-7366
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Fax | 718-963-4016
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Provider Business Mailing Address
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Address Line | 5800 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-3702
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Country | US
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Telephone | 718-630-8298
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Fax | 718-630-7437
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401649
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License Number State | NY
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