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General NPI Number Information
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NPI Number | 1104441427
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Entity Type | Individual
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Provider Name | SARAH K YOUNG ATC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 6505 MARKET ST BLDG A
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-3457
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Country | US
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Telephone | 330-746-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 118 LEMANS DR APT 2
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-2047
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Country | US
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Telephone | 330-881-7079
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 004503
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License Number State | OH
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