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General NPI Number Information
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NPI Number | 1083969752
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Entity Type | Individual
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Provider Name | WILLIAM ALEXANDER YOUNG PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 231 MT. HOLLY-HUNTERSVILLE RD. SUITE 140
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City | CHARLOTTE
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State | NC
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Zip | 28214-9326
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Country | US
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Telephone | 980-477-8420
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Fax | 980-477-8202
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | BELMONT
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State | NC
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Zip | 28012-0749
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Country | US
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Telephone | 704-869-2088
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17891
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1226262
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License Number State | TX
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