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General NPI Number Information
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NPI Number | 1992956734
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Entity Type | Individual
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Provider Name | LING JUI LING CHANG CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 271 CAREW STREET
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City | SPRINGFIELD
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State | MA
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Zip | 01102
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Country | US
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Telephone | 413-748-9000
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Fax | 352-237-9808
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Provider Business Mailing Address
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Address Line | 1613 N HARRISON PARKWAY SUITE 200 MAILSTOP SH-9A
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone | 954-838-2371
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Fax | 954-616-3866
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9274709
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2275887
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License Number State | MA
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