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General NPI Number Information
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NPI Number | 1467575373
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Entity Type | Individual
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Provider Name | DAWN PATRICIA YOUNG OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 609 W CLINTON ST
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City | ITHACA
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State | NY
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Zip | 14850-5255
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Country | US
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Telephone | 607-272-7775
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Fax | 607-272-7776
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Provider Business Mailing Address
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Address Line | 4391 SOUTH ST. EXT.
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City | TRUMANSBURG
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State | NY
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Zip | 14886
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Country | US
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Telephone | 607-387-6098
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Fax | 607-272-7776
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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 | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | 5536217
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | 5536217
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | C006861-1
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License Number State | NY
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