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General NPI Number Information
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NPI Number | 1992787618
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Entity Type | Individual
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Provider Name | WON S CHANG MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 9910 ROOSEVELT BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1705
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Country | US
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Telephone | 215-658-4669
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Fax | 215-671-4307
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Provider Business Mailing Address
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Address Line | PO BOX 780595
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0595
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Country | US
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Telephone | 800-331-9294
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Fax | 812-962-6425
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD071181L
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License Number State | PA
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