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General NPI Number Information
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NPI Number | 1144486994
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Entity Type | Organization
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Legal Business Name | ROBERT A. YOUNG
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 1336 N GALLOWAY AVE SUITE 124
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City | MESQUITE
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State | TX
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Zip | 75149-7417
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Country | US
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Telephone | 972-288-7441
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Fax | 972-289-8025
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Provider Business Mailing Address
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Address Line | 1336 N GALLOWAY AVE SUITE 124
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City | MESQUITE
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State | TX
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Zip | 75149-7417
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Country | US
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Telephone | 972-288-7441
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Fax | 972-289-8025
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM ARRINGTON
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Credential |
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Telephone | 972-288-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 0588/1604
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License Number State | TX
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