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General NPI Number Information
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NPI Number | 1871081406
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Entity Type | Organization
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Legal Business Name | JON N. CHANG PLLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3343 SPRINGHILL DR STE 1005
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117
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Country | US
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Telephone | 501-758-9251
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Fax | 501-758-0308
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Provider Business Mailing Address
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Address Line | 3343 SPRINGHILL DR STE 1005
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2930
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Country | US
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Telephone | 501-758-9251
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Fax | 501-758-0308
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JONATHAN N. CHANG
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Credential | MD
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Telephone | 501-758-9251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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