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General NPI Number Information
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NPI Number | 1144082272
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Entity Type | Individual
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Provider Name | WILLIAM DANIEL YOUNGBLOOD RN
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Gender | Male
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 995 9TH AVE SW
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City | BESSEMER
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State | AL
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Zip | 35022-4527
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Country | US
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Telephone | 205-481-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 302 SLUSS FARM RD
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City | JASPER
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State | GA
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Zip | 30143-1428
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Country | US
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Telephone | 662-242-0501
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN340212
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License Number State | GA
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