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General NPI Number Information
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NPI Number | 1437371721
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Entity Type | Individual
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Provider Name | BENJAMIN DAVIES YOUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 12112 W KELLOGG ST
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City | WICHITA
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State | KS
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Zip | 67235
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Country | US
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Telephone | 316-630-9300
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Fax | 316-440-1089
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Provider Business Mailing Address
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Address Line | 1923 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-630-9300
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Fax | 316-262-4887
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 27270
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 27270
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License Number State | NE
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