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General NPI Number Information
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NPI Number | 1922589811
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Entity Type | Individual
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Provider Name | JOANNA J CHANG RN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042
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Country | US
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Telephone | 800-243-3839
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 W 136TH AVE UNIT U3
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City | BROOMFIELD
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State | CO
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Zip | 80023-8150
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Country | US
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Telephone | 720-737-9759
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024177303
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License Number State | VA
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