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General NPI Number Information
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NPI Number | 1992946974
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Entity Type | Organization
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Legal Business Name | ATTICA CHANG MD PA
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 1356 NW BOCA RATON BLVD
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City | BOCA RATON
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State | FL
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Zip | 33432-1609
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Country | US
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Telephone | 561-395-9500
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Fax | 561-395-9234
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Provider Business Mailing Address
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Address Line | 1356 NW BOCA RATON BLVD
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City | BOCA RATON
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State | FL
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Zip | 33432-1609
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Country | US
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Telephone | 561-395-9500
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Fax | 561-395-9234
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Authorized Official
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Title or Position | DIRECTOR
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Name | ATTICA CHANG
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Credential |
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Telephone | 561-395-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME78975
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License Number State | FL
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