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NPI 1316446131

NPI 1316446131 : MELISSA YOUNG PHARMD : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1316446131
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA YOUNG PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/07/2018
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    Last Update Date     |    02/07/2018
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Provider Practice Location Address
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    Address Line         |    6330 E 75TH ST STE 322 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-2708
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    Country              |    US
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    Telephone            |    317-595-6270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6330 E 75TH ST STE 322 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-2708
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    17986
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PH235782
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    5302045512
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    T12725
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    License Number State |    MS
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Taxonomy #5
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    14077
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    License Number State |    NE
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Taxonomy #6
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    0202215390
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    License Number State |    VA
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Taxonomy #7
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP0009473
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    License Number State |    WV
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Taxonomy #8
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    26022198A
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    License Number State |    IN
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