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General NPI Number Information
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NPI Number | 1073701777
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Entity Type | Individual
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Provider Name | S.ALEX YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 2339 W CLEVELAND AVE # 103
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City | MADERA
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State | CA
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Zip | 93637-8753
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Country | US
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Telephone | 559-673-8055
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Fax | 559-673-0389
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Provider Business Mailing Address
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Address Line | 18804 MADRONE RD
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City | MADERA
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State | CA
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Zip | 93638-0320
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Country | US
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Telephone | 559-673-6450
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Fax | 559-673-0389
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A34664
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License Number State | CA
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