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General NPI Number Information
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NPI Number | 1457686115
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Entity Type | Organization
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Legal Business Name | YOUNGS CLEANING SERVICES INC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 1880 NW 59TH AVE UNIT B
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City | SUNRISE
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State | FL
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Zip | 33313-4086
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Country | US
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Telephone | 954-735-2877
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Fax | 954-677-0351
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Provider Business Mailing Address
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Address Line | 1880 NW 59TH AVE UNIT B
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City | SUNRISE
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State | FL
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Zip | 33313-4086
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Country | US
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Telephone | 954-735-2877
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Fax | 954-677-0351
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLENTON YOUNG
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Credential | D O
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Telephone | 954-735-2877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | P02000021102
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License Number State | FL
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