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General NPI Number Information
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NPI Number | 1255126892
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Entity Type | Organization
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Legal Business Name | MALA YOUNG MD PLLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 706 W HURON ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-4212
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Country | US
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Telephone | 734-249-9170
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 ORKNEY DR
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City | ANN ARBOR
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State | MI
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Zip | 48103-2969
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Country | US
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Telephone | 734-497-5346
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MALA YOUNG
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Credential | MD
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Telephone | 734-249-9170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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