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General NPI Number Information
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NPI Number | 1033767504
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Entity Type | Individual
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Provider Name | KATE ELIZABETH YOUNG FNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 2626 N BRYANT BLVD
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City | SAN ANGELO
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State | TX
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Zip | 76903-2861
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Country | US
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Telephone | 325-747-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 S BRIDGE ST STE 300
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City | BRADY
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State | TX
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Zip | 76825-7552
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Country | US
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Telephone | 325-597-0102
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Fax | 325-597-2939
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142203
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License Number State | TX
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