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Individual
DR. TINA TING-LI CHANG
Active
Individual
DR. TINA TING-LI CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007274
NY
152WL0500X
Low Vision Rehabilitation Optometrist
1645
AZ
152WL0500X
Low Vision Rehabilitation Optometrist
OPT 13689 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P982A
CERTIFICATE OF SPECIAL QUALIFICATION
AZ
Enumeration date
07/17/2008
Last updated
09/22/2009
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