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General NPI Number Information
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NPI Number | 1053948182
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Entity Type | Individual
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Provider Name | MICHAEL DANIEL YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 801-888-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 6850 LAKE NONA BLVD
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City | ORLANDO
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State | FL
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Zip | 32827-7408
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Country | US
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Telephone |
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Fax | 407-266-1199
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2023-01934
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License Number State | NC
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