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General NPI Number Information
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NPI Number | 1134389323
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Entity Type | Organization
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Legal Business Name | WILLIAM M. YOUNG, M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 11770 WARNER AVE SUITE 226
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2663
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Country | US
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Telephone | 241-241-8560
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Fax | 714-241-8576
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Provider Business Mailing Address
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Address Line | 11770 WARNER AVE SUITE 226
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2663
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Country | US
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Telephone | 241-241-8560
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Fax | 714-241-8576
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILLIAM M. YOUNG
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Credential | M.D.
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Telephone | 714-241-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C27892
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License Number State | CA
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