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General NPI Number Information
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NPI Number | 1336822246
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Entity Type | Organization
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Legal Business Name | JAMES YOUNG LLC
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 12544 GRAND CT
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City | KANSAS CITY
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State | MO
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Zip | 64145-1643
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Country | US
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Telephone | 816-905-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 12544 GRAND CT
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City | KANSAS CITY
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State | MO
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Zip | 64145-1643
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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 | MEDICAL DIRECTOR
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Name | DR. JAMES OH
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Credential | DO
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Telephone | 816-905-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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