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General NPI Number Information
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NPI Number | 1780190066
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Entity Type | Individual
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Provider Name | JASON CHANG DNP, ARNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 425-764-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 165TH AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98006-8923
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Country | US
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Telephone | 425-213-7812
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP60772668
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License Number State | WA
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