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General NPI Number Information
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NPI Number | 1184742520
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Entity Type | Individual
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Provider Name | DANIEL ORION YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1015 BOWLES AVE
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City | FENTON
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State | MO
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Zip | 63026-2394
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Country | US
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Telephone | 636-496-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 BOWLES AVE
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City | FENTON
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State | MO
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Zip | 63026-2394
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Country | US
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Telephone | 636-496-2525
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2008002675
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2008002675
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2008002675
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22516
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License Number State | NE
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