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General NPI Number Information
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NPI Number | 1063329142
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Entity Type | Individual
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Provider Name | MAEGAN YOUNG
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 6715 7TH ST
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City | RIVERBANK
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State | CA
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Zip | 95367-2345
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Country | US
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Telephone | 209-869-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 616 MARTINGALE DR
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City | OAKDALE
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State | CA
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Zip | 95361-8360
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Country | US
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Telephone | 209-765-8041
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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 | 29889
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License Number State |
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