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General NPI Number Information
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NPI Number | 1982142691
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Entity Type | Individual
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Provider Name | WALTER CHANG DNP
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Gender | Male
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2230 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1353
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Country | US
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Telephone | 916-734-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 H ST APT 402
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City | SACRAMENTO
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State | CA
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Zip | 95814-2065
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Country | US
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Telephone | 415-680-8898
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020090
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License Number State | CA
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