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General NPI Number Information
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NPI Number | 1891748588
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Entity Type | Individual
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Provider Name | ERIC G CHANG-TUNG M. D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD STE 103
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City | PLANO
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State | TX
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Zip | 75093-7910
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Country | US
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Telephone | 214-361-2300
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Fax | 214-361-2316
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Provider Business Mailing Address
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Address Line | 6130 W PARKER RD STE 103
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City | PLANO
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State | TX
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Zip | 75093-7910
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Country | US
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Telephone | 214-361-2300
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Fax | 214-361-2316
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G4907
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License Number State | TX
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