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General NPI Number Information
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NPI Number | 1790984805
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Entity Type | Individual
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Provider Name | ALBERT JEH-SENG CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 10408 INDUSTRIAL CIR
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City | REDLANDS
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State | CA
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Zip | 92374-4548
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Country | US
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Telephone | 909-796-0363
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Fax | 909-796-0762
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Provider Business Mailing Address
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Address Line | 10408 INDUSTRIAL CIR
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City | REDLANDS
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State | CA
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Zip | 92374-4548
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Country | US
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Telephone | 909-796-0363
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Fax | 909-796-0762
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A78996
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License Number State | CA
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