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General NPI Number Information
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NPI Number | 1063098473
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Entity Type | Individual
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Provider Name | ALEXANDER YOUNG-OO DRESDEN DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 752 N HIGH POINT RD
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City | MADISON
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State | WI
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Zip | 53717-2236
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Country | US
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Telephone | 608-824-0000
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Fax | 608-824-4917
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Provider Business Mailing Address
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Address Line | 5502 SEDGEMEADOW RD
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City | MIDDLETON
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State | WI
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Zip | 53562-1249
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Country | US
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Telephone | 843-597-2723
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R-12046
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 81393
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License Number State | WI
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