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General NPI Number Information
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NPI Number | 1770787392
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Entity Type | Organization
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Legal Business Name | VANESSA LOO CHANG & DENNIS M CHANG OD PTR
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 318 W NOLANA
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City | MCALLEN
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State | TX
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Zip | 78504-2528
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Country | US
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Telephone | 956-664-0444
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Fax | 956-664-0446
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Provider Business Mailing Address
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Address Line | 318 W NOLANA AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2528
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Country | US
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Telephone | 956-664-0444
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Fax | 956-664-0446
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Authorized Official
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Title or Position | PARTNER
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Name | DR. VANESSA L CHANG
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Credential | OD
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Telephone | 956-664-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | TX
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