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General NPI Number Information
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NPI Number | 1154007318
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Entity Type | Individual
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Provider Name | KATHRYN YOUNG AUD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 110 CHARLOIS BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1522
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Country | US
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Telephone | 336-768-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 255 BELLEFORDE CT
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City | LEWISVILLE
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State | NC
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Zip | 27023-8304
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Country | US
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Telephone | 336-661-5424
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 30001952
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License Number State | NC
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