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General NPI Number Information
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NPI Number | 1952466476
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Entity Type | Organization
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Legal Business Name | PAUL A. CHANG, MD, INC.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 2558 W 4TH ST
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City | ONTARIO
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State | OH
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Zip | 44906-1209
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Country | US
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Telephone | 419-529-4100
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Fax | 419-529-8700
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Provider Business Mailing Address
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Address Line | PO BOX 3627
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City | MANSFIELD
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State | OH
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Zip | 44907
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Country | US
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Telephone | 419-529-4100
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Fax | 419-529-8700
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL A CHANG
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Credential | M.D.
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Telephone | 419-529-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | OH
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