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General NPI Number Information
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NPI Number | 1346655222
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Entity Type | Organization
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Legal Business Name | YOUNG NURSING SERVICES, LLC.
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 361 DANVILLE DR
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-8812
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Country | US
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Telephone | 856-404-9949
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Fax | 856-968-0007
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Provider Business Mailing Address
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Address Line | 361 DANVILLE DR
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-8812
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Country | US
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Telephone | 856-404-9949
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Fax | 856-968-0007
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Authorized Official
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Title or Position | P/CEO
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Name | MR. JOHN WAN YOUNG
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Credential |
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Telephone | 856-404-9949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0140800
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License Number State | NJ
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