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General NPI Number Information
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NPI Number | 1306298807
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Entity Type | Individual
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Provider Name | ELIZABETH ANN YOUNG ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 11750 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33175-3530
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Country | US
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Telephone | 786-305-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 13434 SW 124TH AVENUE RD
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City | MIAMI
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State | FL
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Zip | 33186-6552
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Country | US
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Telephone | 616-350-1332
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9350073
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License Number State | FL
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