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General NPI Number Information
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NPI Number | 1164076253
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Entity Type | Individual
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Provider Name | JAMES YOUNG RPH
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Gender | Male
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Dates
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Enumeration Date | 07/28/2019
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Last Update Date | 07/28/2019
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Provider Practice Location Address
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Address Line | 2630 PARKWAY DR
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City | LUBBOCK
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State | TX
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Zip | 79403-4100
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Country | US
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Telephone | 806-765-7014
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Fax | 806-765-8578
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Provider Business Mailing Address
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Address Line | 6023 87TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-3696
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Country | US
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Telephone | 806-794-1881
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Fax | 806-765-8578
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24904
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License Number State | TX
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