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General NPI Number Information
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NPI Number | 1104639657
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Entity Type | Individual
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Provider Name | CATHERINE T YOUNG DPT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 350 BOLLINGER CANYON LN
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City | SAN RAMON
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State | CA
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Zip | 94582-4592
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Country | US
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Telephone | 925-735-6414
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Fax |
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Provider Business Mailing Address
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Address Line | 2991 SANTOS LN APT 105
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City | WALNUT CREEK
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State | CA
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Zip | 94597-7571
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Country | US
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Telephone | 909-201-9116
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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 |
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License Number State | CA
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