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General NPI Number Information
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NPI Number | 1366993305
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Entity Type | Individual
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Provider Name | CARRIE MARIE YOUNG CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 10111 TARPON DR
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City | TREASURE ISLAND
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State | FL
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Zip | 33706-3122
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Country | US
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Telephone | 602-684-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 65 W 55TH ST APT 10F
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City | NEW YORK
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State | NY
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Zip | 10019-4913
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Country | US
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Telephone | 602-684-9655
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 141974
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 700754
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR18625800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 22-600514
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11002237
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License Number State | FL
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