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General NPI Number Information
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NPI Number | 1386175602
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Entity Type | Organization
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Legal Business Name | DAVID YOUNG OH, LLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2011 CHAPEL HILL RD
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City | DURHAM
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State | NC
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Zip | 27707-1109
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Country | US
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Telephone | 919-899-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 CHAPEL HILL RD
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City | DURHAM
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State | NC
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Zip | 27707-1109
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Country | US
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Telephone | 919-960-1396
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Fax | 919-887-2746
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Authorized Official
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Title or Position | CREDENTIALING
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Name | SARAH SULE
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Credential |
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Telephone | 919-918-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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