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General NPI Number Information
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NPI Number | 1023045838
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Entity Type | Individual
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Provider Name | MICHAEL D YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 1155 W JEFFERSON ST STE 202
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City | FRANKLIN
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State | IN
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Zip | 46131-2732
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Country | US
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Telephone | 317-346-3883
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Fax | 317-346-3141
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Provider Business Mailing Address
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Address Line | 1155 W JEFFERSON ST STE 202
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City | FRANKLIN
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State | IN
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Zip | 46131-2732
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Country | US
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Telephone | 812-372-8426
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Fax | 812-372-8301
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01042806A
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License Number State | IN
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