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General NPI Number Information
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NPI Number | 1326271065
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Entity Type | Individual
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Provider Name | COLLEEN S YOUNG NP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 12401 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 562-698-0911
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Fax | 562-789-4368
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Provider Business Mailing Address
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Address Line | 12401 WASHINGTON BLVD.
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 562-698-0911
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Fax | 562-789-4368
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 11918
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364SN0000X
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Taxonomy Name | Neonatal Clinical Nurse Specialist
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License Number | 2100
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License Number State | CA
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