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General NPI Number Information
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NPI Number | 1407742638
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Entity Type | Individual
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Provider Name | MS. DAWNSHERRIE K YOUNG
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 15475 ANNAPOLIS RD STE 40
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City | BOWIE
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State | MD
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Zip | 20715-3049
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Country | US
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Telephone | 240-530-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 9113 ELDON DR
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City | CLINTON
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State | MD
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Zip | 20735-2941
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Country | US
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Telephone | 240-530-0095
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | VKVCDMNL5A
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | VKVCDMNL5A
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | VKVCDMNL5A
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License Number State | MD
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