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General NPI Number Information
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NPI Number | 1427542240
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Entity Type | Individual
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Provider Name | CATHERINE ELIZABETH YOUNG DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 16500 SAN PEDRO AVE STE 440
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2295
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Country | US
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Telephone | 210-483-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 3231 N LOOP 1604 W APT 1109
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City | SAN ANTONIO
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State | TX
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Zip | 78257-4408
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Country | US
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Telephone | 979-451-5763
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 34096
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License Number State | TX
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