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General NPI Number Information
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NPI Number | 1295086999
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Entity Type | Individual
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Provider Name | JOSHUA SHANE YOUNG N.P.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2520 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-2952
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Country | US
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Telephone | 478-236-2338
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Fax | 478-300-9720
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Provider Business Mailing Address
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Address Line | 2520 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-2952
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Country | US
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Telephone | 478-230-5340
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Fax | 478-300-9720
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN173347
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License Number State | GA
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