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General NPI Number Information
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NPI Number | 1093987794
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Entity Type | Individual
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Provider Name | JAMES ROBERT YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 501 S SHARON AMITY RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28211
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Country | US
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Telephone | 704-377-2424
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Fax | 704-377-2687
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Provider Business Mailing Address
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Address Line | 501 S SHARON AMITY RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28211-0035
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Country | US
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Telephone | 704-377-2424
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Fax | 704-377-2687
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 2014-00341
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 2014-00341
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License Number State | NC
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