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General NPI Number Information
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NPI Number | 1104018977
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Entity Type | Individual
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Provider Name | SCOTT A. YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 12010 SHELBYVILLE RD SUITE 300
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City | LOUISVILLE
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State | KY
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Zip | 40243-1054
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Country | US
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Telephone | 502-244-9355
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Fax | 502-244-9577
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Provider Business Mailing Address
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Address Line | PO BOX 436256
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City | LOUISVILLE
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State | KY
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Zip | 40253-6256
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Country | US
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Telephone | 502-244-9355
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Fax | 502-244-9577
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32052
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License Number State | KY
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