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General NPI Number Information
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NPI Number | 1457340911
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Entity Type | Individual
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Provider Name | SERENA J YOUNG MD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 80 HIGHLAND ST
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City | LACONIA
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State | NH
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Zip | 03246-3235
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Country | US
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Telephone | 603-527-4500
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Fax | 603-527-4505
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Provider Business Mailing Address
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Address Line | 1094 WORCESTER RD
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5255
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Country | US
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Telephone | 781-890-9933
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Fax | 781-890-9950
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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 | 212479
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License Number State | MA
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