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General NPI Number Information
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NPI Number | 1710418298
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Entity Type | Individual
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Provider Name | SHENG-CHIEH CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 9961 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-6720
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 8167 VINEYARD AVE APT 75
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3394
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Country | US
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Telephone | 408-666-1969
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.141943
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A179912
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License Number State | CA
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