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1104006709 NPI number — YORKE DOUGLAS YOUNG M.D.

NPI Number: 1104006709
Health Care Provider/Practitioner: YORKE DOUGLAS YOUNG M.D.

Information about “1104006709” NPI (YORKE DOUGLAS YOUNG M.D.) exists in 1104006709 in HTML format HTML  |  1104006709 in plain Text format TXT  |  1104006709 in PDF (Portable Document Format) PDF  |  1104006709 in an XML format XML  formats.

NPI Number : 1104006709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104006709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOUNG",
    "FirstName": "YORKE",
    "MiddleName": "DOUGLAS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1924 ALCOA HWY",
    "SecondLineMailingAddress": "BOX 108, DEPARTMENT OF PATHOLOGY",
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37920-1511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-305-8994",
    "MailingAddressFaxNumber": "865-305-8563",
    "FirstLinePracticeLocationAddress": "1924 ALCOA HWY",
    "SecondLinePracticeLocationAddress": "BOX 108, DEPARTMENT OF PATHOLOGY",
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37920-1511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-305-8994",
    "PracticeLocationAddressFaxNumber": "865-305-8563",
    "EnumerationDate": "11/12/2007",
    "LastUpdateDate": "06/01/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207ZP0102X",
        "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
        "LicenseNumber": "127480",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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