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General NPI Number Information
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NPI Number | 1497996193
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Entity Type | Organization
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Legal Business Name | YOUNGWOOD PLLC
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 239 S FRENCH BROAD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-3901
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Country | US
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Telephone | 828-231-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 93 PEARSON DR
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City | ASHEVILLE
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State | NC
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Zip | 28801-1645
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Country | US
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Telephone | 828-231-2610
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL YOUNG WOOD
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Credential | LCSW
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Telephone | 828-231-2610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C003603
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License Number State | NC
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