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General NPI Number Information
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NPI Number | 1922090133
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Entity Type | Individual
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Provider Name | JAYMIN CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 600 BROADWAY STE 270
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City | SEATTLE
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State | WA
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Zip | 98122-5392
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Country | US
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Telephone | 206-625-0578
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Fax | 206-625-9184
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Provider Business Mailing Address
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Address Line | PO BOX 840842
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City | DALLAS
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State | TX
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Zip | 75284-0842
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Country | US
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Telephone |
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 10907
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD218665
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD61276491
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License Number State | WA
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