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General NPI Number Information
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NPI Number | 1164658928
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Entity Type | Individual
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Provider Name | BRUCE CABOT YOUNG II PSYD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 326 SUNSET DR
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City | ASHEVILLE
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State | NC
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Zip | 28804-3725
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Country | US
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Telephone | 828-407-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 326 SUNSET DR
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City | ASHEVILLE
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State | NC
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Zip | 28804-3725
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Country | US
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Telephone | 828-407-7237
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P2941
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4281
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License Number State | NC
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