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General NPI Number Information
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NPI Number | 1447235536
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Entity Type | Organization
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Legal Business Name | JEFFREY T. YOUNGKIN, M.D. ASSOCIATED
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 805 E 32ND ST SUITE 201
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City | AUSTIN
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State | TX
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Zip | 78705-2537
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Country | US
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Telephone | 512-478-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 805 E 32ND ST SUITE 201
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City | AUSTIN
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State | TX
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Zip | 78705-2537
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Country | US
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Telephone | 512-478-3188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY THOMAS YOUNGKIN
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Credential | M.D.
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Telephone | 512-478-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F2133
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License Number State | TX
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