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General NPI Number Information
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NPI Number | 1285957589
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Entity Type | Individual
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Provider Name | PATRICIA ANN YOUNG MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BOULEVARD, ROOM 5512
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-423-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S. DETROIT ST. APT, 213
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City | LOS ANGELES
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State | CA
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Zip | 90036
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Country | US
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Telephone | 310-804-0864
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A115400
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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