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General NPI Number Information
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NPI Number | 1114091345
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Entity Type | Individual
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Provider Name | MELISSA CONSTANCE YOUNG M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 1950 RICHMOND RD
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City | LYNDHURST
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State | OH
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Zip | 44124-3719
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Country | US
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Telephone | 216-448-8550
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Fax | 971-345-0090
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Provider Business Mailing Address
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Address Line | 1950 RICHMOND RD
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City | LYNDHURST
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State | OH
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Zip | 44124-3719
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Country | US
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Telephone | 216-448-8550
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Fax | 971-345-0090
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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 | 122177
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License Number State | OH
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