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General NPI Number Information
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NPI Number | 1992995708
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Entity Type | Organization
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Legal Business Name | SFHD INC.
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 102 MEDICAL PARK SUITE A
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4971
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Country | US
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Telephone | 936-435-0014
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Fax | 936-435-9108
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Provider Business Mailing Address
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Address Line | 812 ELKINS LK
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City | HUNTSVILLE
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State | TX
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Zip | 77340-7322
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Country | US
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Telephone | 936-291-0988
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SHAO-JEN CHANG
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Credential | M.D.
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Telephone | 936-291-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K3891
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K3891
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License Number State | TX
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