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General NPI Number Information
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NPI Number | 1174602635
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Entity Type | Individual
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Provider Name | NANCY YOUNG A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 413 LILLY ROAD NE SEXUAL ASSAULT CLINIC
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City | OLYMPIA
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State | WA
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Zip | 98506
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Country | US
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Telephone | 360-493-7469
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Fax |
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Provider Business Mailing Address
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Address Line | 12532 WADDELL CREEK COURT SW
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City | OLYMPIA
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State | WA
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Zip | 98512
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Country | US
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Telephone | 360-753-2361
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP30003393
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License Number State | WA
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