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General NPI Number Information
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NPI Number | 1053090555
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Entity Type | Individual
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Provider Name | REBECCA YOUNG DMD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 51 WEBB PL STE 200
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City | DOVER
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State | NH
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Zip | 03820-2454
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Country | US
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Telephone | 603-742-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 474 WILLOW BROOK RD
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City | PLAINFIELD
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State | NH
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Zip | 03781-5209
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Country | US
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Telephone | 603-727-6802
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 04860
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License Number State | NH
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