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General NPI Number Information
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NPI Number | 1346350683
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Entity Type | Individual
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Provider Name | KARL JAMES MOO YOUNG D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1341 CANTON RD STE A
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City | MARIETTA
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State | GA
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Zip | 30066-6056
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Country | US
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Telephone | 770-422-0517
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Fax | 770-422-0517
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Provider Business Mailing Address
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Address Line | 2600 N ELM ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3011
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Country | US
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Telephone | 910-272-3051
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Fax | 910-738-3764
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2008-01645
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 103748
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 103748
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License Number State | GA
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