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General NPI Number Information
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NPI Number | 1235699356
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Entity Type | Individual
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Provider Name | MYLES C YOUNG MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 11528 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-1442
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Country | US
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Telephone | 727-868-2151
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Fax | 868-869-0732
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Provider Business Mailing Address
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Address Line | 11528 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-1442
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Country | US
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Telephone | 727-868-2151
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Fax | 727-869-0732
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036160552
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License Number State | IL
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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 | 036160552
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License Number State | IL
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