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General NPI Number Information
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NPI Number | 1366618514
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Entity Type | Organization
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Legal Business Name | MERLIN W YOUNG DDS PA
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 3111 WENDELL BLVD
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City | WENDELL
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State | NC
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Zip | 27591
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Country | US
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Telephone | 919-365-7416
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2050 3111 WENDELL BLVD
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City | WENDELL
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State | NC
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Zip | 27591
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Country | US
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Telephone | 919-365-7416
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Fax |
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Authorized Official
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Title or Position | PRESIDENT DENTIST
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Name | DR. MERLIN W YOUNG
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Credential | DDS
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Telephone | 919-365-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0852
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License Number State | NC
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