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General NPI Number Information
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NPI Number | 1073781779
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Entity Type | Individual
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Provider Name | ALAN M YOUNG RPH
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Gender | Male
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 4160 MONUMENT RD
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1726
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Country | US
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Telephone | 215-879-8830
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Fax | 215-879-7466
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Provider Business Mailing Address
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Address Line | 14 SEEDLING DR
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City | HOLLAND
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State | PA
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Zip | 18966-2840
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Country | US
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Telephone | 215-968-3699
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP033794L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01968800
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License Number State | NJ
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