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General NPI Number Information
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NPI Number | 1154415925
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Entity Type | Organization
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Legal Business Name | HARDING G. YOUNG, MD, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 3617 MARTIN LUTHER KING JR BLVD SUITE 1
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City | LYNWOOD
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State | CA
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Zip | 90262-3504
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Country | US
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Telephone | 310-631-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 3617 MARTIN LUTHER KING JR BLVD SUITE 1
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City | LYNWOOD
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State | CA
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Zip | 90262-3504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARDING G YOUNG
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Credential | MD
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Telephone | 310-631-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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