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General NPI Number Information
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NPI Number | 1063087625
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Entity Type | Individual
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Provider Name | CELIA YOUNG CCC- SLP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 1958 ELM ST
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City | DENVER
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State | CO
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Zip | 80220-1247
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Country | US
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Telephone | 303-333-4982
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Fax | 187-750-6058
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Provider Business Mailing Address
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Address Line | 1450 ALBION ST APT 203
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City | DENVER
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State | CO
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Zip | 80220-2378
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Country | US
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Telephone | 917-843-7575
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | PSLP.0000761
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License Number State | CO
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