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General NPI Number Information
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NPI Number | 1780687418
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Entity Type | Individual
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Provider Name | NAN-NING S CHANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5650 FRANCIS LEWIS BLVD
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1635
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Country | US
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Telephone | 718-766-9311
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Fax | 718-233-4099
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Provider Business Mailing Address
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Address Line | 268 SCHENCK AVE
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City | GREAT NECK
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State | NY
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Zip | 11021-3943
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Country | US
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Telephone | 718-766-9311
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Fax | 718-233-4099
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 203366
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License Number State | NY
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