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General NPI Number Information
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NPI Number | 1114276623
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Entity Type | Individual
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Provider Name | MICHELLE DION YOUNG BA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 138 NEW MOHAWK #200
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City | NEVAD CITY
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State | CA
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Zip | 95959
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Country | US
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Telephone | 530-478-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 17026 GREENHORN RD
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City | GRASS VALLEY
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State | CA
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Zip | 95945
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Country | US
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Telephone | 530-274-1074
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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