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General NPI Number Information
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NPI Number | 1275863284
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Entity Type | Organization
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Legal Business Name | JOSEPH M YOUNG MD INC
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 5525 ASSEMBLY CT STE A
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City | SACRAMENTO
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State | CA
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Zip | 95823-2634
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Country | US
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Telephone | 916-428-2330
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Fax | 916-428-2331
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Provider Business Mailing Address
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Address Line | 5525 ASSEMBLY CT STE A
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City | SACRAMENTO
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State | CA
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Zip | 95823-2634
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Country | US
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Telephone | 916-428-2330
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Fax | 916-428-2331
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH M YOUNG
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Credential | MD
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Telephone | 916-428-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A20724
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A20724
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License Number State | CA
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