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General NPI Number Information
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NPI Number | 1508195181
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Entity Type | Individual
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Provider Name | SCOTT ALAN YOUNG PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1304 CHINOOK LN
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City | PUEBLO
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State | CO
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Zip | 81001-1851
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Country | US
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Telephone | 719-545-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 1967 HARVARD PL
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City | LOVELAND
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State | CO
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Zip | 80538-8790
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Country | US
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Telephone | 719-252-3373
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Fax | 970-353-0796
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY3290
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License Number State | CO
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