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General NPI Number Information
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NPI Number | 1265076871
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Entity Type | Individual
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Provider Name | YONNETTE LYNN YOUNG APRN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 20823 STEVENS CREEK BLVD STE 400
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City | CUPERTINO
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State | CA
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Zip | 95014-2111
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Country | US
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Telephone | 435-264-4854
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Fax | 866-226-8774
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Provider Business Mailing Address
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Address Line | 258 S CHICKASAW TRL STE 203
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City | ORLANDO
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State | FL
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Zip | 32825-3558
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Country | US
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Telephone | 407-303-6588
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Fax | 407-303-6592
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11004154
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11004154
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License Number State | FL
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