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General NPI Number Information
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NPI Number | 1083239545
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Entity Type | Individual
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Provider Name | JOHANNA C. YOUNG PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 103 MCALPINE LN # A
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City | LAURINBURG
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State | NC
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Zip | 28352-4637
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Country | US
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Telephone | 910-277-7546
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Fax | 910-277-0048
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Provider Business Mailing Address
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Address Line | 6701 CARMEL RD STE 116
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City | CHARLOTTE
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State | NC
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Zip | 28226-3953
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Country | US
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Telephone | 980-327-1010
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Fax | 980-646-0700
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-10212
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License Number State | NC
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