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General NPI Number Information
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NPI Number | 1790985497
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Entity Type | Individual
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Provider Name | MR. STEVEN JOHN IHN CHANG
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 180 FORT WASHINGTON AVE HP6
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-1570
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Fax | 212-342-1907
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST PH 8W-876
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-1570
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Fax | 212-342-1907
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F302472
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License Number State | NY
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