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General NPI Number Information
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NPI Number | 1326316480
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Entity Type | Individual
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Provider Name | STEPHANIE A.Z. YOUNG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 3425 EXECUTIVE PKWY SUITE 230
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City | TOLEDO
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State | OH
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Zip | 43606-1326
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Country | US
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Telephone | 419-531-3500
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Fax | 419-531-1877
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Provider Business Mailing Address
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Address Line | 3425 EXECUTIVE PKWY SUITE 230
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City | TOLEDO
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State | OH
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Zip | 43606-1326
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Country | US
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Telephone | 419-531-3500
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Fax | 419-531-1877
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6868
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License Number State | OH
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