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General NPI Number Information
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NPI Number | 1275346926
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Entity Type | Individual
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Provider Name | RASHAD YOUNG
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Gender | Male
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3751 PENNRIDGE DR STE 119
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City | BRIDGETON
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State | MO
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Zip | 63044-1244
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Country | US
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Telephone | 314-239-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 EMERALD CREEK CT
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City | FLORISSANT
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State | MO
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Zip | 63031-2044
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Country | US
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Telephone |
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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 |
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License Number State |
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