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General NPI Number Information
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NPI Number | 1982036091
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Entity Type | Individual
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Provider Name | JAMMIE CHANG
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 4848 PRESTON RD
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City | FRISCO
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State | TX
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Zip | 75034-8522
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Country | US
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Telephone | 972-377-1812
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Fax | 972-377-1817
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Provider Business Mailing Address
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Address Line | 3663 BRIARPARK DR
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City | HOUSTON
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State | TX
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Zip | 77042-5205
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Country | US
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Telephone | 713-268-3630
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Fax | 623-869-1717
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 53438
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License Number State | TX
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