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General NPI Number Information
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NPI Number | 1053493791
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Entity Type | Individual
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Provider Name | THOMAS L YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1928 ALCOA HWY STE 105
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City | KNOXVILLE
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State | TN
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Zip | 37920-1502
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Country | US
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Telephone | 865-305-9595
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Fax | 865-305-6556
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Provider Business Mailing Address
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Address Line | DEPT 888196
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6198
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD12475
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License Number State | TN
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