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General NPI Number Information
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NPI Number | 1265516124
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Entity Type | Individual
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Provider Name | ELIZABETH YOUNG MA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 741 NORTH ST BRIEN FAMILY CENTER
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City | PITTSFIELD
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State | MA
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Zip | 01201-4109
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Country | US
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Telephone | 413-447-2145
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Fax | 413-447-3245
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Provider Business Mailing Address
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Address Line | 261 SOUTH RD
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City | AVERILL PARK
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State | NY
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Zip | 12018-3417
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Country | US
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Telephone | 518-369-5788
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 002746-1
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License Number State | NY
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