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Individual
DR. TIFFANY W. CHANG
Active
Individual
DR. TIFFANY W. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4549
MA
152W00000X
Optometrist
Primary
TPL 13471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK662Z
PTAN
CA
Enumeration date
06/27/2006
Last updated
04/05/2011
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