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General NPI Number Information
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NPI Number | 1821415183
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Entity Type | Individual
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Provider Name | ALLAN C CHANG LAC, DOM, DAOM
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 18800 AMAR RD STE C12
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City | WALNUT
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State | CA
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Zip | 91789-4561
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Country | US
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Telephone | 626-788-9691
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Fax | 626-608-0318
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Provider Business Mailing Address
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Address Line | 18800 AMAR RD STE C12
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City | WALNUT
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State | CA
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Zip | 91789-4561
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Country | US
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Telephone | 626-788-9691
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Fax | 626-608-0318
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | A000150
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 15822
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License Number State | CA
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